Male Birth Registration: Year: 1921 number: 40600133
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Registered No. 40600133
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 Cleveland, Roland Elsworth
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 26, 1921
FATHER
8. Full Name Judson Harold Cleveland
9. Residence 46 Charles St., Halifax
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Bayswater, Lunenburg
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed
MOTHER
14. Full Maiden Name Margaret Isobele Hodgson
15. Residence 46 Charles St., Halifax
16. Racial Origin English | 17. Age at last birthday 24
18. Birthplace Guysborough
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 Judson H. Cleveland
22. Name of Doctor, nurse or other person in attendance at birth R. C. G. Hawkins, M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403132
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