Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Duglas Clayton Jack birth Port Bickerton, Guysborough County on November 9, 1920
Male Birth Registration: Year: 1920 number: 63300475
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Registered No. 63300475
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Port Bickerton
2. FULL NAME OF CHILD Jack, Duglas Clayton
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 9, 1920
FATHER
8. Full Name John William Jack
9. Residence Port Beckerton
10. Racial Origin English | 11. Age at last birthday 41
12. Birthplace Port Hillford Lake
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Fisherman
MOTHER
14. Full Maiden Name Nettie Kaiser
15. Residence Port Beckerton
16. Racial Origin English | 17. Age at last birthday 35
18. Birthplace Fishermans Harbour
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant John William Jack Port Beckerton
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Edward Horton
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 November 1920
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