Male Birth Registration: Year: 1920 number: 63700404
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Registered No. 63700404
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Digby
City, Town or Village Weymouth Falls
2. FULL NAME OF CHILD Jarvis, Samuel Henry
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 20, 1920
FATHER
8. Full Name George Dutcher Jarvis
9. Residence Weymouth Falls
10. Racial Origin Colored | 11. Age at last birthday 43
12. Birthplace Weymouth Falls
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Louisa Langford
15. Residence Weymouth Falls
16. Racial Origin Colored | 17. Age at last birthday 40
18. Birthplace Weymouth Falls
19. Number of children of this mother (including this child)
Living 8 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Ge. Dutcher Jarvis
22. Name of Doctor, nurse or other person in attendance at birth Almyra Langford
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 June 1920
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=391504
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