Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jule Carroll Jacquard birth Belleville, Yarmouth County on June 28, 1921
Male Birth Registration: Year: 1921 number: 60400058
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Registered No. 60400058
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Belleville
2. FULL NAME OF CHILD Jacquard, Jule Carroll
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 28, 1921
FATHER
8. Full Name Henry Jacquard
9. Residence Belleville
10. Racial Origin French | 11. Age at last birthday 48
12. Birthplace Belleville
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed Carpenter
MOTHER
14. Full Maiden Name Marry Odessa Bourque
15. Residence Belleville
16. Racial Origin White | 17. Age at last birthday 42
18. Birthplace Eelbrook
19. Number of children of this mother (including this child)
Living 8 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Henry Jacquard Belleville, Yarmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. Melanson & nurse Rose Bent
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 3 July 1921
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