Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charlies Elroy Chisom birth Three Brooks, Pictou County on August 26, 1922
Male Birth Registration: Year: 1922 number: 61200331
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Registered No. 61200331
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Three Brooks
2. FULL NAME OF CHILD Chisom, Charlies Elroy
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 26, 1922
FATHER
8. Full Name Ernest Chisom
9. Residence New Glasgow
10. Racial Origin English | 11. Age at last birthday 23
12. Birthplace Scotch Hill
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Ice
MOTHER
14. Full Maiden Name Eliza Emily Larson
15. Residence Scotch Hill
16. Racial Origin English | 17. Age at last birthday 17
18. Birthplace
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. Elijah Larson Pictou
22. Name of Doctor, nurse or other person in attendance at birth Doctor McDonald
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 1 September 1922
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