Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lois Evangeline Broome birth New Ross, Lunenburg County on October 25, 1921
Female Birth Registration: Year: 1921 number: 61700500
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Registered No. 61700500
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village New Ross
2. FULL NAME OF CHILD Broome, Lois Evangeline
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 25, 1921
FATHER
8. Full Name Harry Clarence Broome
9. Residence New Ross
10. Racial Origin German | 11. Age at last birthday 32
12. Birthplace New Ross
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Eva Viola Rafuse
15. Residence New Ross
16. Racial Origin Dutch | 17. Age at last birthday 31
18. Birthplace New Ross
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Harry Broome New Ross
22. Name of Doctor, nurse or other person in attendance at birth Dr. F.C. Lavers
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 8 November 1921
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