Male Birth Registration: Year: 1921 number: 40600591
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Registered No. 40600591
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 Blackmore, Jerld Joseph
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
September 25, 1921
FATHER
8. Full Name James Tinitry Blacmore
9. Residence 4 Cornwallis St.
10. Racial Origin English | 11. Age at last birthday 35
12. Birthplace N.F.L.D.
13. Occupation: —
(a) Trade or profession labour
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Agnes Julian
15. Residence 4 Cornwallis St.
16. Racial Origin English | 17. Age at last birthday 30
18. Birthplace Halifax
19. Number of children of this mother (including this child)
Living 6 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. John Julian
22. Name of Doctor, nurse or other person in attendance at birth Dr. Lewis Tomas, Mrs. J. Julian
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 Oct. 1921
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Note: Father's middle name is Timothy according to death certificate.
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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