Female Birth Registration: Year: 1921 number: 40600510
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Registered No. 40600510
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, Florence Mable
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 9, 1921
FATHER
8. Full Name Samuel Cleveland
9. Residence 845 Barrington St.
10. Racial Origin Irish | 11. Age at last birthday 30
12. Birthplace West Dover
13. Occupation: —
(a) Trade or profession Sailor
(b) Business in which employed
MOTHER
14. Full Maiden Name Florence Maud Dawson
15. Residence 845 Barrington St.
16. Racial Origin English | 17. Age at last birthday 23
18. Birthplace 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
22. Name of Doctor, nurse or other person in attendance at birth Dr. Churchill, Nurse Lee
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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