Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jennie Arvilla Wagner birth Port Medway, Queens County on June 16, 1920
Female Birth Registration: Year: 1920 number: 39000157
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Registered No. 39000157
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Queens
City, Town or Village Port Medway
2. FULL NAME OF CHILD Wagner, Jennie Arvilla
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 16, 1920
FATHER
8. Full Name Charles Reuben Wagner
9. Residence Port Medway
10. Racial Origin English | 11. Age at last birthday 33
12. Birthplace Port Medway
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Grace Hazel McCoombs
15. Residence Port Medway
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace East Port Medway
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Charles R. Wagner Port Medway
22. Name of Doctor, nurse or other person in attendance at birth F. P. Smith, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 29 June 1920
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