Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Hazel Viola Jefferson birth Millville, Kings County on May 10, 1921

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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