Male Birth Registration: Year: 1921 number: 62300854
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Registered No. 62300854
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Kings
City, Town or Village Union Square
2. FULL NAME OF CHILD Clarke, Gerald Leslie
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 10, 1921
FATHER
8. Full Name John Clarke
9. Residence Union Square
10. Racial Origin English | 11. Age at last birthday 38
12. Birthplace Woodville
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Kate Evelyn Clarke
15. Residence Union Square
16. Racial Origin English | 17. Age at last birthday 34
18. Birthplace Lakeville
19. Number of children of this mother (including this child)
Living 7 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Waterville
22. Name of Doctor, nurse or other person in attendance at birth Dr. H.E. Killiam
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 April 1921
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Note: John Clarke; res: Union Square, English, 38 years
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408208
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