Female Birth Registration: Year: 1921 number: 40600161
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Registered No. 40600161
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 Jensen, Lillian Grace
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 2, 1921
FATHER
8. Full Name Jas. Edward Jensen
9. Residence 38 Walnut St.
10. Racial Origin Danish | 11. Age at last birthday 37
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession Cost Clerk
(b) Business in which employed
MOTHER
14. Full Maiden Name Alberta Godfrey Bethune
15. Residence 38 Walnut St.
16. Racial Origin Scottish | 17. Age at last birthday 33
18. Birthplace Halifax
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Jas. E. Jensen 38 Walnut St., Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. Lyall J. Cock
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 8 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403160
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