Male Birth Registration: Year: 1921 number: 62300760
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Registered No. 62300760
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Coldbrook
2. FULL NAME OF CHILD Hayes, Laurie Garfield
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 21, 1921
FATHER
8. Full Name Garfield Newton Hayes
9. Residence Cold Brook, Kings
10. Racial Origin English | 11. Age at last birthday 39
12. Birthplace Pockwock, Halifax
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Farming and Milling
MOTHER
14. Full Maiden Name Etta Zilphy Fuller
15. Residence Cold Brook, Kings CO.
16. Racial Origin English | 17. Age at last birthday 34
18. Birthplace Grand Pre, Kings
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 G. N. Hayes Cold Brook, Kings
22. Name of Doctor, nurse or other person in attendance at birth Dr. W. B. Moore, S. Hayes
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 3 Feb 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408114
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