Male Birth Registration: Year: 1921 number: 64700193
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Registered No. 64700193
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Truro
2. FULL NAME OF CHILD Jackson, Tomis Lengay
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
December 29, 1921
FATHER
8. Full Name Victor Gould
9. Residence Truro
10. Racial Origin Colored | 11. Age at last birthday 19
12. Birthplace Truro
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed no
MOTHER
14. Full Maiden Name Nina Annie Jackson
15. Residence 20 Mile Street, Truro
16. Racial Origin Colored | 17. Age at last birthday 16
18. Birthplace Sheet Harbor
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant
22. Name of Doctor, nurse or other person in attendance at birth Dr. McCurdie, Mrs Hampton
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 7 January 1922
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411834
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