Male Birth Registration: Year: 1921 number: 61100115
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Registered No. 61100115
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village New Glasgow
2. FULL NAME OF CHILD Jensen, Robert Clarence
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
7. Date of Birth
May 9, 1921
FATHER
8. Full Name Robert Jensen
9. Residence New Glasgow, N.S.
10. Racial Origin English | 11. Age at last birthday 20
12. Birthplace Newfoundland
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed Building R.R. Cars
MOTHER
14. Full Maiden Name Minnie Alice Baker
15. Residence New Glasgow, N.S.
16. Racial Origin English | 17. Age at last birthday 19
18. Birthplace Sydney Mines, Cape Breton
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Robert Jensen P.O. Box 1581 New Glasgow
22. Name of Doctor, nurse or other person in attendance at birth Dr. H. H. McKay
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14th May 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406254
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