Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Evelyn Katherine Clark birth Halifax, Halifax County on May 23, 1921
Female Birth Registration: Year: 1921 number: 40800597
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Registered No. 40800597
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 Clark, Evelyn Katherine
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 23, 1921
FATHER
8. Full Name John Melbourne Clark
9. Residence 30 Merkel Place, Halifax, N.S.
10. Racial Origin English | 11. Age at last birthday 26
12. Birthplace Mosher's Corner, Annapolis Co.
13. Occupation: —
(a) Trade or profession Trainman
(b) Business in which employed C.N.R.
MOTHER
14. Full Maiden Name Florence Cunningham
15. Residence 30 Market Place, Halifax, N.S.
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Liverpool, 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 John M Clark 30 Market Place Halifax, N.S.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Corston
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 June 1921
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