Male Birth Registration: Year: 1921 number: 62100032
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Registered No. 62100032
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Grafton
2. FULL NAME OF CHILD Millett, Carl Chase
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 21, 1921
FATHER
8. Full Name William Harrington Millett
9. Residence Grafton
10. Racial Origin English | 11. Age at last birthday 30
12. Birthplace Vernon Mines, Kings N.S.
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Farmer
MOTHER
14. Full Maiden Name Amanda Burdette Chase
15. Residence Grafton
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Lakeville Kings N.S.
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Willaim H. Millett Grafton Kings N.S.
22. Name of Doctor, nurse or other person in attendance at birth H.E. Killam M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 08/12/1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=407984
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