Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Hazel Willa Crockett birth Eastville, Colchester County on June 8, 1921
Female Birth Registration: Year: 1921 number: 65000204
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Registered No. 65000204
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Eastville
2. FULL NAME OF CHILD Crockett, Hazel Willa
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 8, 1921
FATHER
8. Full Name John Clair Crockett
9. Residence Eastville
10. Racial Origin English | 11. Age at last birthday 24
12. Birthplace Eastville
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Ethel Mary Richey
15. Residence Eastville
16. Racial Origin English | 17. Age at last birthday 19
18. Birthplace Glace Bay
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. Richey Eastville
22. Name of Doctor, nurse or other person in attendance at birth Dr. Cox and Mrs. Richey
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 June 1921
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