Male Birth Registration: Year: 1920 number: 64500764
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Registered No. 64500764
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Amherst
2. FULL NAME OF CHILD Clark, Maurice Richard
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 21, 1920
FATHER
8. Full Name Charles Clark
9. Residence 1 Durley Street, Amherst
10. Racial Origin English | 11. Age at last birthday 39
12. Birthplace London, England
13. Occupation: —
(a) Trade or profession Machinist
(b) Business in which employed Robb. Eng. Works
MOTHER
14. Full Maiden Name Annie Cook
15. Residence 1 Durley Street
16. Racial Origin English | 17. Age at last birthday 39
18. Birthplace Crook. (Durham Co. England)
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 Charles Clark 1 Durley Street, Amherst
22. Name of Doctor, nurse or other person in attendance at birth Dr. B.E. Goodwin
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 23 June 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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