Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clemens birth Halifax, Halifax County on July 11, 1921
Female Birth Registration: Year: 1921 number: 40600206
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Registered No. 40600206
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 Clemens,
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
July 11, 1921
FATHER
8. Full Name William Clemens
9. Residence 30 Livingstone Place
10. Racial Origin English | 11. Age at last birthday 48
12. Birthplace Tor Bay, Newfoundland
13. Occupation: —
(a) Trade or profession Cable Construction Foreman
(b) Business in which employed Mart.-Ley Telp. Company
MOTHER
14. Full Maiden Name Emma Jane Myrer
15. Residence 30 Livingstone Place
16. Racial Origin English | 17. Age at last birthday 40
18. Birthplace Petpeswick Harbour, Halifax
19. Number of children of this mother (including this child)
Living 7 Dead 2 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Wm. Clemens 30 Livingstone Place, Hfx.
22. Name of Doctor, nurse or other person in attendance at birth Dr. J. D. G. Campbell, Nurse Miss Carrol
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 July 1921
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