Male Birth Registration: Year: 1920 number: 40900281
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Registered No. 40900281
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Jorgensen, Anders Victor Bauner
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 5, 1920
FATHER
8. Full Name Niels Christian William Jorgensen
9. Residence 326 1/2 Gottingen St., Halifax
10. Racial Origin Danish | 11. Age at last birthday 29
12. Birthplace Copenhagen, Denmark
13. Occupation: —
(a) Trade or profession Engineer - Machinist
(b) Business in which employed Pipefitter
MOTHER
14. Full Maiden Name Ethel May Fralic
15. Residence 326 1/2 Gottingen St., Halifax
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Dartmouth
19. Number of children of this mother (including this child)
Living 4 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant N. Chr. Jorgensen 326 1/2 Gottingen St., Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. McDonald, 294 Gottingen St. and Mrs. Loraine Fralic, 326 1/2 Gottingen St.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 7 December 1920
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