Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jerell Willird Lively birth Beaver Bank, Halifax County on October 26, 1921
Male Birth Registration: Year: 1921 number: 67300572
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Registered No. 67300572
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Beaver Bank
2. FULL NAME OF CHILD Lively, Jerell Willird
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 26, 1921
FATHER
8. Full Name George Edward Lively
9. Residence Beaver Bank
10. Racial Origin English | 11. Age at last birthday 50
12. Birthplace Halifax
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Lena Beatrice Lively
15. Residence Beaver Bank
16. Racial Origin English | 17. Age at last birthday 41
18. Birthplace Beaver Bank
19. Number of children of this mother (including this child)
Living 12 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Midder Beaver Bank
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Mary Shunamor
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 November 1921
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