Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jean Elizabeth Chase birth Forest Home, Kings County on January 4, 1920
Female Birth Registration: Year: 1920 number: 62300139
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Registered No. 62300139
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Forest Home
2. FULL NAME OF CHILD Chase, Jean Elizabeth
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
January 4, 1920
FATHER
8. Full Name Boyd Walsh
9. Residence Mahone Bay
10. Racial Origin English | 11. Age at last birthday 25
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Mildred Maude Chase
15. Residence Forest Home
16. Racial Origin English | 17. Age at last birthday 24
18. Birthplace South Alton
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. James Lockhart Forest Home
22. Name of Doctor, nurse or other person in attendance at birth Mrs. William Lockhart & Dr. Moore
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 January 1920
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