Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Eva Elizebeth Jack birth Bear River, Annapolis County on January 9, 1922
Female Birth Registration: Year: 1922 number: 66900262
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Registered No. 66900262
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Bear River
2. FULL NAME OF CHILD Jack, Eva Elizebeth
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 9, 1922
FATHER
8. Full Name Derby Ivan Jack
9. Residence Bear River
10. Racial Origin Scottish | 11. Age at last birthday 29
12. Birthplace Bear River
13. Occupation: —
(a) Trade or profession Electrician
(b) Business in which employed
MOTHER
14. Full Maiden Name Ester Peck
15. Residence Bear River
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Greenland, Annapolis
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Derby Ivan Jack Bear River
22. Name of Doctor, nurse or other person in attendance at birth J D Densmore
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 3 February 1922
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