Male Birth Registration: Year: 1921 number: 60500815
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Registered No. 60500815
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Woods Harbor
2. FULL NAME OF CHILD Jeffrey, Ernest Ray
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 2, 1921
FATHER
8. Full Name R. Chesley Jeffrey
9. Residence Woods Harbor
10. Racial Origin English | 11. Age at last birthday 40
12. Birthplace Woods Harbor
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Eva Dell Larkin
15. Residence Woods Harbor
16. Racial Origin English | 17. Age at last birthday 38
18. Birthplace Lower East Pubnico, Yar.
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Chesley Jeffrey Woods Harbor, Shel.
22. Name of Doctor, nurse or other person in attendance at birth Dr. H. H. Banks & Miss Minnie MacDonell (nurse)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 2 January 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=405826
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