Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clara Josephine Belliveau birth Lower Woods Harbor, Shelburne County on December 29, 1921
Female Birth Registration: Year: 1921 number: 60500819
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Registered No. 60500819
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Shelburne
City, Town or Village Lower Woods Harbor
2. FULL NAME OF CHILD Belliveau, Clara Josephine
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 29, 1921
FATHER
8. Full Name Herman James Belliveau
9. Residence Lower Woods Harbor
10. Racial Origin English | 11. Age at last birthday 30
12. Birthplace Middle East Pubnico
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Evelyn Violet Forbes
15. Residence Lower Woods Harbor
16. Racial Origin English | 17. Age at last birthday 31
18. Birthplace Lower Woods Harbor
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Evelyn Belliveau
22. Name of Doctor, nurse or other person in attendance at birth Dr. H. H. Banks
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 27 January 1922
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