Female Birth Registration: Year: 1921 number: 60400030
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Registered No. 60400030
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Yarmouth
2. FULL NAME OF CHILD Nickerson, Jean Victoria
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
June 9, 1921
FATHER
8. Full Name Alvin Rupert Nickerson
9. Residence Yarmouth
10. Racial Origin English | 11. Age at last birthday 44
12. Birthplace Baccaro
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Clissie May Nickerson
15. Residence Yarmouth
16. Racial Origin English | 17. Age at last birthday 39
18. Birthplace Bear Point
19. Number of children of this mother (including this child)
Living 8 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Osmond R. Nickerson Yarmouth North
22. Name of Doctor, nurse or other person in attendance at birth Dr. W.C. Harris
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 June 1921
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Note: Mother's maiden name is Purdy according to marriage certificate.
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405135
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