Male Birth Registration: Year: 1921 number: 65000318
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Registered No. 65000318
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Middle Stewiacke
2. FULL NAME OF CHILD Kaulback, Carl Edwin
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
August 25, 1921
FATHER
8. Full Name Gilbert Kaulback
9. Residence Middle Stewiacke, Colchester
10. Racial Origin White | 11. Age at last birthday 42
12. Birthplace Middle Stewiacke, Colchester
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Catherine MacDonald
15. Residence Middle Stewiacke, Colchester
16. Racial Origin Scottish | 17. Age at last birthday 30
18. Birthplace Middle Stewiacke, Colchester
19. Number of children of this mother (including this child)
Living Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Kate Taylor
22. Name of Doctor, nurse or other person in attendance at birth James Reynold 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 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=412342
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