Male Birth Registration: Year: 1921 number: 63200032
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Registered No. 63200032
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village Windsor
2. FULL NAME OF CHILD Kaulback, Murray Charles
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 3, 1921
FATHER
8. Full Name Charles Evert Kaulback
9. Residence Windsor
10. Racial Origin English Dutch | 11. Age at last birthday 26
12. Birthplace Victory, Annapolis County
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed working for H.C. Burchell
MOTHER
14. Full Maiden Name Levina Hugh Darris
15. Residence Windsor
16. Racial Origin English Dutch | 17. Age at last birthday 22
18. Birthplace Victory, Annapolis County
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Harry G. Potter Clementsvale
22. Name of Doctor, nurse or other person in attendance at birth O.B. Keddy M.D. Mrs Lester Nix
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 9 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409501
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