Male Birth Registration: Year: 1922 number: 66900494
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Registered No. 66900494
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Beaconsfield
2. FULL NAME OF CHILD Crosby, Stillborn
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
August 6, 1922
FATHER
8. Full Name George Crosby
9. Residence St John, NB
10. Racial Origin African | 11. Age at last birthday 35
12. Birthplace Bear River
13. Occupation: —
(a) Trade or profession none
(b) Business in which employed Hopeless Invalid
MOTHER
14. Full Maiden Name Ellis Crosby
15. Residence USA
16. Racial Origin Mixed African/Indian | 17. Age at last birthday 30
18. Birthplace Nova Scotia
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Ellis Adelia Lyles
22. Name of Doctor, nurse or other person in attendance at birth Dr. Dechman
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 Nov 1922
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Note: Mi'kmaq and African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=430052
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