Female Birth Registration: Year: 1921 number: 63800043
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Registered No. 63800043
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Digby
City, Town or Village Jordantown
2. FULL NAME OF CHILD Jordan,
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 4, 1921
FATHER
8. Full Name George Jordan
9. Residence Jordantown
10. Racial Origin African Colored | 11. Age at last birthday
12. Birthplace Acaciaville
13. Occupation: —
(a) Trade or profession labourer
(b) Business in which employed farming
MOTHER
14. Full Maiden Name Frances Mansfield
15. Residence Jordantown
16. Racial Origin African Colored | 17. Age at last birthday
18. Birthplace Jordantown
19. Number of children of this mother (including this child)
Living Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Fanny Jordan Jordantown
22. Name of Doctor, nurse or other person in attendance at birth W F Read M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 October 1921
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=410420
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