Male Birth Registration: Year: 1921 number: 66100075
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Registered No. 66100075
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney Mines
2. FULL NAME OF CHILD Jardine, Lewis William
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 10, 1921
FATHER
8. Full Name John Wallace Jardine
9. Residence Sydney Mines, Cape Breton
10. Racial Origin Scottish | 11. Age at last birthday 31
12. Birthplace Sydney Mines, Cape Breton
13. Occupation: —
(a) Trade or profession Steam Fitting
(b) Business in which employed S. I. & C. Ltd
MOTHER
14. Full Maiden Name Reta Grace Rudderham
15. Residence Sydney Mines, Cape Breton
16. Racial Origin English | 17. Age at last birthday 27
18. Birthplace Sydney Mines, Cape Breton
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 J. W. Jardine Sydney Mines, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth Dr. Archibald & Mrs. Ken
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 March 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=413050
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