Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jacobson birth Halifax, Halifax County on December 14, 1921
Male Birth Registration: Year: 1921 number: 40600989
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Registered No. 40600989
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 Jacobson,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
December 14, 1921
FATHER
8. Full Name Hans Ingolf Jacobson
9. Residence Green Bank, Halifax
10. Racial Origin Danish | 11. Age at last birthday 23
12. Birthplace Copenhagen, Denmark
13. Occupation: —
(a) Trade or profession Section Man
(b) Business in which employed C.N.R.
MOTHER
14. Full Maiden Name Lillian May Kelley
15. Residence Green Bank, Halifax
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Birmingham, England
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Hans I. Jacobson General Delivery, Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. McIntosh, Mrs. Connors
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 December 1921
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