Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Criss birth Canard, Kings County on December 20, 1922
Female Birth Registration: Year: 1922 number: 62100714
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Registered No. 62100714
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Canard
2. FULL NAME OF CHILD Criss,
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
December 20, 1922
FATHER
8. Full Name Bert Criss
9. Residence Canard, Kings N.S.
10. Racial Origin Mulatto | 11. Age at last birthday 28
12. Birthplace Bridgetown
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Alice Samson
15. Residence Canard, Kings N.S.
16. Racial Origin Mulatto | 17. Age at last birthday 27
18. Birthplace Newport, Hants N.S
19. Number of children of this mother (including this child)
Living 2 Dead 2 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Bert Criss Canard, Kings N.S.
22. Name of Doctor, nurse or other person in attendance at birth Dr. A. S. Burns
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 27 January 1923
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Note: African Nova Scotian