Female Birth Registration: Year: 1921 number: 99100237
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99100237
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of RuthJackson Sex Female
Date of Birth August 5, 1921 Place of Birth HalifaxCounty of Halifax
Name of Father Willis Jackson MAIDEN NAME of Mother Grace Gladys Mansfield
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Halifax Present address of Father
Occupation of Father at Birth of child Place of birth of Father Halifax
Race Name and present address of Physician in attendance at birth
Signature of Applicant Ruth Allison Address of Applicant Halifax Date 15 September 2003
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of RuthJackson
Born at Halifax in the County of Halifax
That RuthJackson Whose Birth is sought to be registered was
born at Halifax Halifax County on August 5, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
National Registration and school record
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=417629
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