Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harry Rayburne Jorgensen birth Lunenburg, Lunenburg County on September 3, 1921
Male Birth Registration: Year: 1921 number: 61700360
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Registered No. 61700360
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Lunenburg
2. FULL NAME OF CHILD Jorgensen, Harry Rayburne
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 3, 1921
FATHER
8. Full Name Harold Nicaoli Jorgensen
9. Residence Lunenburg
10. Racial Origin Norwegian | 11. Age at last birthday 27
12. Birthplace Brevik, Norway
13. Occupation: —
(a) Trade or profession Master Mariner
(b) Business in which employed Fishing, Coastwise Trade
MOTHER
14. Full Maiden Name Rita Mable Caroline Nauss
15. Residence Lunenburg
16. Racial Origin English | 17. Age at last birthday 22
18. Birthplace Lunenburg
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 Mrs. H. Jorgensen Lunenburg
22. Name of Doctor, nurse or other person in attendance at birth Dr. DesBrisay, Nurse Mrs. Elva Lohnes
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 September 1921
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