Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Kathleen Louise Crooks birth Wallace, Cumberland County on November 9, 1921
Female Birth Registration: Year: 1921 number: 64300943
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Registered No. 64300943
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Wallace
2. FULL NAME OF CHILD Crooks, Kathleen Louise
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 9, 1921
FATHER
8. Full Name John A Crooks
9. Residence Wallace Grant
10. Racial Origin English | 11. Age at last birthday 37
12. Birthplace Ecum Secum
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Nellie B Miller
15. Residence Wallace Grant
16. Racial Origin Scottish | 17. Age at last birthday 17
18. Birthplace Lake Road
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 John A Crooks Bay Head, Col. Co, RR No 2
22. Name of Doctor, nurse or other person in attendance at birth Dr. F D Charman, Mrs Gordon Stevens
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 November 1921
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