Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carl Clayton Burrell birth Clementsvale, Annapolis County on February 18, 1920
Male Birth Registration: Year: 1920 number: 67000136
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Registered No. 67000136
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Clementsvale
2. FULL NAME OF CHILD Burrell, Carl Clayton
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
February 18, 1920
FATHER
8. Full Name John Burrell
9. Residence Clementsvale
10. Racial Origin English | 11. Age at last birthday 34
12. Birthplace Bear River
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Eva H. Patten
15. Residence Clementsvale
16. Racial Origin English | 17. Age at last birthday 31
18. Birthplace Clementsvale, Annapolis Co.
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant John Burrell Clementsvale
22. Name of Doctor, nurse or other person in attendance at birth L.J. Lovett
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 27 February 1920
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