Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carrie Jean Bolivar birth Broad Cove, Lunenburg County on February 17, 1921
Female Birth Registration: Year: 1921 number: 62000309
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Registered No. 62000309
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Broad Cove
2. FULL NAME OF CHILD Bolivar, Carrie Jean
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
7. Date of Birth
February 17, 1921
FATHER
8. Full Name Le Roy Bolivar
9. Residence Broad Cove ,Nova Scotia
10. Racial Origin German | 11. Age at last birthday
12. Birthplace Broad Cove
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Zelphia Crouse
15. Residence Broad Cove
16. Racial Origin German | 17. Age at last birthday 29
18. Birthplace Cherry Hill ,N.S.
19. Number of children of this mother (including this child)
Living 5 Dead 3 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant
22. Name of Doctor, nurse or other person in attendance at birth
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 13-4-1921
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