Female Birth Registration: Year: 1922 number: 66900421
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Registered No. 66900421
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Bridgetown
2. FULL NAME OF CHILD Jefferson, Vivian Evangelian
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 11, 1922
FATHER
8. Full Name Stewart Garfield Jefferson
9. Residence Bridgetown
10. Racial Origin English | 11. Age at last birthday 40
12. Birthplace Anna.
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Shonfies
MOTHER
14. Full Maiden Name Annie Gertrude Jefferson (Wallace)
15. Residence Bridgetown
16. Racial Origin English | 17. Age at last birthday 38
18. Birthplace Round Hill, Annapolis County
19. Number of children of this mother (including this child)
Living 9 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Margaret Frances Jefferson Bridgetown
22. Name of Doctor, nurse or other person in attendance at birth Doctor Dechman, Mrs George Fox
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 3 July 1922
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Note: Mother's maiden name is Wallace, Ref Marriage Cert 1904-1802-47-56
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=429980
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