Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jean Irene Rafuse birth Vernon Mines, Kings County on October 12, 1921
Female Birth Registration: Year: 1921 number: 62400236
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Registered No. 62400236
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Vernon Mines
2. FULL NAME OF CHILD Rafuse, Jean Irene
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 12, 1921
FATHER
8. Full Name John Moris Rafuse
9. Residence Vernon Mines
10. Racial Origin English | 11. Age at last birthday 33
12. Birthplace Martins Point
13. Occupation: —
(a) Trade or profession Cooper
(b) Business in which employed Coopering
MOTHER
14. Full Maiden Name Edith Matilda McDowe
15. Residence Vernon Mines
16. Racial Origin English | 17. Age at last birthday 32
18. Birthplace New Ross
19. Number of children of this mother (including this child)
Living 7 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Gordon Rafuse Lakeville
22. Name of Doctor, nurse or other person in attendance at birth Dr. Killam, Mary McDowe
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 9 November 1921
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