Female Birth Registration: Year: 1921 number: 66900060
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Registered No. 66900060
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Springfield
2. FULL NAME OF CHILD Thibault, Jacqueline Kathleen Joan
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 12, 1921
FATHER
8. Full Name Joseph Gabriel Thibault
9. Residence Springfield
10. Racial Origin French | 11. Age at last birthday 26
12. Birthplace ?, Digby
13. Occupation: —
(a) Trade or profession Station Agent
(b) Business in which employed H.S.W. Roy
MOTHER
14. Full Maiden Name Dolores Garrier
15. Residence Springfield
16. Racial Origin French | 17. Age at last birthday 26
18. Birthplace ?, Quebec
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 Dolores Thibault Springfield
22. Name of Doctor, nurse or other person in attendance at birth W.F. Ke?
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 18/06/1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414948
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