Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Douglas St. Clair Crouse birth Lake Egmont, Halifax County on October 4, 1921

Male Birth Registration: Year: 1921 number: 67300574

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Registered No. 67300574

PROVINCE OF NOVA SCOTIA

CERTIFICATE OF REGISTRATION OF BIRTH

1. PLACE OF BIRTH

County of Halifax

City, Town or Village Lake Egmont

2. FULL NAME OF CHILD Crouse, Douglas St. Clair

3. Sex of child

Male

4. Twin, triplet or other?

5. Was the child born alive?

Yes

6. Legitimate?

Yes

7. Date of Birth

October 4, 1921

FATHER

8. Full Name Burton Burke Moore

9. Residence Lake Egmont

10. Racial Origin English | 11. Age at last birthday 29

12. Birthplace Upper Musquodoboit

13. Occupation: —

(a) Trade or profession Farmer

(b) Business in which employed

MOTHER

14. Full Maiden Name Alice Bertha Lively

15. Residence Lake Egmont

16. Racial Origin English | 17. Age at last birthday 22

18. Birthplace Antrim

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 Burton Moore Lake Egmont

22. Name of Doctor, nurse or other person in attendance at birth Dr. C.H. Morris

I certify the foregoing to be true and correct to the best of my knowledge and belief.

Given under my hand this 7 October 1921

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Note: Adopted by Wellsley Crouse and Ina Rosena Crouse May 20, 1936 with child renamed Douglas St. Clair Crouse (birth name: Marrin James Moore)

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