Female Birth Registration: Year: 1921 number: 62800049
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Registered No. 62800049
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Inverness
City, Town or Village St. Joseph Du Moine
2. FULL NAME OF CHILD Chiasson, Clarice Elizabeth
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 11, 1921
FATHER
8. Full Name Arsene M Chiasson
9. Residence St. Joseph du Moine, Ns
10. Racial Origin French | 11. Age at last birthday 30
12. Birthplace St. Joseph du Moine
13. Occupation: —
(a) Trade or profession Laborer
(b) Business in which employed Lumbering
MOTHER
14. Full Maiden Name Rose Deveau
15. Residence St. Joseph du Moine
16. Racial Origin French | 17. Age at last birthday 20
18. Birthplace Cheticamp
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 Arsene M Chiasson St. Joseph du Moine
22. Name of Doctor, nurse or other person in attendance at birth Dr. Leo LeBlanc
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 13 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=408996
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