Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dorothy Campbell Clark birth Port Williams, Kings County on December 3, 1921
Female Birth Registration: Year: 1921 number: 62100062
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Registered No. 62100062
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Port Williams
2. FULL NAME OF CHILD Clark, Dorothy Campbell
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 3, 1921
FATHER
8. Full Name Daniel Campbell Clark
9. Residence Port Williams, Kings
10. Racial Origin Scottish | 11. Age at last birthday 27
12. Birthplace Caledonia, Guys
13. Occupation: —
(a) Trade or profession Salesman
(b) Business in which employed Geo. A. Chase
MOTHER
14. Full Maiden Name Ada Emily Norton
15. Residence Miscou Island, Glou., New Brunswick
16. Racial Origin Irish | 17. Age at last birthday 25
18. Birthplace Miscou Island, New Brunswick
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. D.C. Clark Port Williams
22. Name of Doctor, nurse or other person in attendance at birth Dr. Elliott and Mrs. Zinck
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 7 February 1922
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