Male Birth Registration: Year: 1921 number: 67300487
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Registered No. 67300487
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Carrolls Corner
2. FULL NAME OF CHILD Smith, Karl Basil
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 20, 1921
FATHER
8. Full Name George Stanley Smith
9. Residence Carrolls Corner
10. Racial Origin Irish | 11. Age at last birthday 23
12. Birthplace Carrolls Corner
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Hilda Avis Isenor
15. Residence Dutch Settlement
16. Racial Origin Dutch | 17. Age at last birthday 21
18. Birthplace Dutch Settlement
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant George S Smith Milford Station
22. Name of Doctor, nurse or other person in attendance at birth Dr. D.F. McInnis
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 11 Oct 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415788
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