Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clinton Carl Smith birth Arcadia, Yarmouth County on August 4, 1920
Male Birth Registration: Year: 1920 number: 60300575
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Registered No. 60300575
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Arcadia
2. FULL NAME OF CHILD Smith, Clinton Carl
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 4, 1920
FATHER
8. Full Name Forman Smith
9. Residence Arcadia, Yar. Co.
10. Racial Origin English | 11. Age at last birthday 43
12. Birthplace Milbourn
13. Occupation: —
(a) Trade or profession painter
(b) Business in which employed
MOTHER
14. Full Maiden Name Janie Bullerwell
15. Residence Arcadia
16. Racial Origin English | 17. Age at last birthday 36
18. Birthplace Arcadia
19. Number of children of this mother (including this child)
Living 6 Dead 3 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Forman Smith Arcadia
22. Name of Doctor, nurse or other person in attendance at birth Dr. W. C. Harris
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 October 1920
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