Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Edward Arnold Crockett birth Valley Station, Colchester County on December 13, 1921
Male Birth Registration: Year: 1921 number: 64700204
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Registered No. 64700204
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Valley Station
2. FULL NAME OF CHILD Crockett, Edward Arnold
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 13, 1921
FATHER
8. Full Name John George Crockett
9. Residence Valley Station
10. Racial Origin Scottish | 11. Age at last birthday 38
12. Birthplace Burnside, Colchester Co
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Cora May Graham
15. Residence Valley Station
16. Racial Origin Scottish | 17. Age at last birthday 30
18. Birthplace Burnside, Colchester Co
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant John G Crockett Valley Station, Colchester County
22. Name of Doctor, nurse or other person in attendance at birth R D Bentley M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 January 1922
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