Female Birth Registration: Year: 1921 number: 40600964
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Registered No. 40600964
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 Clergy, Elizbeth Dorthy Virgina
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 9, 1921
FATHER
8. Full Name Ambrose Clergy
9. Residence 69 Cunard St.
10. Racial Origin French | 11. Age at last birthday 30
12. Birthplace East Port Petpeswick
13. Occupation: —
(a) Trade or profession Laborer Cook
(b) Business in which employed Robin James & Whitman
MOTHER
14. Full Maiden Name Catherine Camp
15. Residence 69 Cunard St.
16. Racial Origin French English | 17. Age at last birthday 30
18. Birthplace Halifax
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 Ambrose Clergy 69 Cunard St.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Buckley
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 December 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=403962
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