Female Birth Registration: Year: 1921 number: 61700291
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Registered No. 61700291
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Bridgewater
2. FULL NAME OF CHILD Crouse, Eloise M.
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 11, 1921
FATHER
8. Full Name Charles S. Crouse
9. Residence Bridgewater
10. Racial Origin English | 11. Age at last birthday 38
12. Birthplace Branch. Le Have
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Eudora
15. Residence Bridgewater
16. Racial Origin English | 17. Age at last birthday 29
18. Birthplace Branch. LeHave
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Charles S. Crouse Bridgewater
22. Name of Doctor, nurse or other person in attendance at birth Dr. S. Srimposa
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 28 Sep 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407410
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