Male Birth Registration: Year: 1922 number: 62100705
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Registered No. 62100705
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Cornwallis
2. FULL NAME OF CHILD Jess, Otis Wilbert
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 12, 1922
FATHER
8. Full Name George Lewis Jess
9. Residence Belcher Street
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Nova Scotia
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Myrtle Ula Gates
15. Residence New Ross, Lunenburg
16. Racial Origin English | 17. Age at last birthday 32
18. Birthplace Nova Scotia
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant George Lewis Jess Port Williams
22. Name of Doctor, nurse or other person in attendance at birth Doctor M. R. Elliott
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 January 1923
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=423680
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