Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon Percy Rasmussen birth Little Bras D'Or, Cape Breton County on April 27, 1921
Male Birth Registration: Year: 1921 number: 66100354
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Registered No. 66100354
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Little Bras D'Or
2. FULL NAME OF CHILD Rasmussen, Simon Percy
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 27, 1921
FATHER
8. Full Name Simon P. Rasmussen
9. Residence Little Bras Dor
10. Racial Origin Danish | 11. Age at last birthday 26
12. Birthplace Little Bras dor
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed
MOTHER
14. Full Maiden Name Sarah Boutliar
15. Residence Little Bras dor
16. Racial Origin Dutch | 17. Age at last birthday 21
18. Birthplace Little Bras dor
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. Simon Rasmussen Little Bras D'or South Side
22. Name of Doctor, nurse or other person in attendance at birth Mrs Leattie Rasmussen
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 May 1921
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