Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Agnes Louise Simonson birth Bridgewater, Lunenburg County on October 6, 1921

Female Birth Registration: Year: 1921 number: 61700456

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Registered No.  61700456

PROVINCE OF NOVA SCOTIA

CERTIFICATE OF REGISTRATION OF BIRTH

1. PLACE OF BIRTH

County of Lunenburg

City, Town or Village Bridgewater

2. FULL NAME OF CHILD Simonson, Agnes Louise

3. Sex of child

Female

4. Twin, triplet or other?

5. Was the child born alive?

Yes

6. Legitimate?

Yes

7. Date of Birth

October 6, 1921

FATHER

8. Full Name John Sylvester Simonson

9. Residence Bridgewater

10. Racial Origin English | 11. Age at last birthday 45

12. Birthplace Moser River, Halifax

13. Occupation: —

(a) Trade or profession

(b) Business in which employed Grocer

MOTHER

14. Full Maiden Name Sybil Mae Rafuse

15. Residence Conquerall Bank

16. Racial Origin English | 17. Age at last birthday 30

18. Birthplace Conquerall Bank

19. Number of children of this mother (including this child)

Living 2 Dead Stillborn

20. Occupation, if other than household duties

21. Name and Post Office address of Informant John S Simonson Bridgewater

22. Name of Doctor, nurse or other person in attendance at birth W N Rehfuss, M.D.

I certify the foregoing to be true and correct to the best of my knowledge and belief.

Given under my hand this 7 October 1921

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