Female Birth Registration: Year: 1921 number: 64900903
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Registered No. 64900903
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Colchester
City, Town or Village Lake Road
2. FULL NAME OF CHILD Studivan, Jessie Viola May
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 17, 1921
FATHER
8. Full Name William Studivan
9. Residence Lake Road, Co Col.
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Malagash, Cum. Co
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Grace Woodworth
15. Residence Lake Road
16. Racial Origin English | 17. Age at last birthday 29
18. Birthplace Attleboro, Mass., USA
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs Grace Studivan Tatamagouche, Col. Co, RR #2
22. Name of Doctor, nurse or other person in attendance at birth Dan Murray M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 5 March 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411928
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