Male Birth Registration: Year: 1921 number: 40600057
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Registered No. 40600057
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Pottie, Clarence Howard
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 13, 1921
FATHER
8. Full Name Alex Pottie
9. Residence 91 Lr. W. St., Halifax
10. Racial Origin French | 11. Age at last birthday 28
12. Birthplace L'Ardoise, C.B.
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Checker
MOTHER
14. Full Maiden Name Jennie Briand
15. Residence 91 L. W. St., Halifax
16. Racial Origin French | 17. Age at last birthday 21
18. Birthplace L'Ardoise, C.B.
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Alex Pottie 91 L. Water St.
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. S. Morton
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403056
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