Female Birth Registration: Year: 1921 number: 62300981
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Registered No. 62300981
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Millville
2. FULL NAME OF CHILD Jefferson, Hazel Viola
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 10, 1921
FATHER
8. Full Name Fred Ellsworth Jefferson
9. Residence Aylesford
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Nova Scotia
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Matilda Ahee Crocker
15. Residence Aylesford
16. Racial Origin English | 17. Age at last birthday 29
18. Birthplace Nova Scotia
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn 4
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Fred Ellsworth Jefferson Aylesford, Kings
22. Name of Doctor, nurse or other person in attendance at birth Dr. Pail Balcon
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 May 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408335
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