Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Eldon Gaetz birth South Maitland, Hants County on January 18, 1921
Female Birth Registration: Year: 1921 number: 63100715
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Registered No. 63100715
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village South Maitland
2. FULL NAME OF CHILD Gaetz, Samuel Eldon
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
January 18, 1921
FATHER
8. Full Name
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Beatrice Gaetz
15. Residence South Maitland
16. Racial Origin Dutch | 17. Age at last birthday 27
18. Birthplace Musquodoboit Harbour
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties Seamstress
21. Name and Post Office address of Informant
22. Name of Doctor, nurse or other person in attendance at birth Thomson Densmore M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 May 1921
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