Male Birth Registration: Year: 1919 number: 67000070
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Registered No. 67000070
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Bridgetown
2. FULL NAME OF CHILD Jefferson, Carl Maxwell
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 18, 1919
FATHER
8. Full Name Stewart Jefferson
9. Residence Bridgetown
10. Racial Origin English | 11. Age at last birthday
12. Birthplace Annapolis County
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Buyer Old Furniture
MOTHER
14. Full Maiden Name Gertrude Nallas
15. Residence Bridgetown
16. Racial Origin English | 17. Age at last birthday 36
18. Birthplace Annapolis County
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 Stewart Jefferson Bridgetown
22. Name of Doctor, nurse or other person in attendance at birth A.A. Dechman
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 7 February 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402327
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