Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clayton Robert James Simmons birth First South, Lunenburg County on April 6, 1921
Male Birth Registration: Year: 1921 number: 61700007
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Registered No. 61700007
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village First South
2. FULL NAME OF CHILD Simmons, Clayton Robert James
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
7. Date of Birth
April 6, 1921
FATHER
8. Full Name steffern james simmons
9. Residence first south
10. Racial Origin German | 11. Age at last birthday 28
12. Birthplace halifax ns
13. Occupation: —
(a) Trade or profession sailor
(b) Business in which employed lmy outfitters co
MOTHER
14. Full Maiden Name theresa darea
15. Residence first south
16. Racial Origin german | 17. Age at last birthday 19
18. Birthplace searsdale lunenburg co
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant mrs steffern simmons first south lunenburg co
22. Name of Doctor, nurse or other person in attendance at birth r m k saunders
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 06/04/21
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