Male Birth Registration: Year: 1922 number: 62100683
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Registered No. 62100683
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Somerset
2. FULL NAME OF CHILD Hazelwood, Carmen Lewis
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 13, 1922
FATHER
8. Full Name Roy Parks Hazelwood
9. Residence Somerset
10. Racial Origin English | 11. Age at last birthday 24
12. Birthplace Kings, N.S.
13. Occupation: —
(a) Trade or profession Trade
(b) Business in which employed Decorator
MOTHER
14. Full Maiden Name Betty Elizabeth Moore
15. Residence Watford
16. Racial Origin English | 17. Age at last birthday 24
18. Birthplace Lunenburgm N.S.
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties Stenographer
21. Name and Post Office address of Informant Mrs. Roy P. Hazelwood Somerset, Kings
22. Name of Doctor, nurse or other person in attendance at birth Dr. J. J. McNally
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 27 November 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=423658
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