Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elizabeth Rae Clark birth St. Croix, Hants County on September 6, 1921
Female Birth Registration: Year: 1921 number: 63200053
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Registered No. 63200053
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Hants
City, Town or Village St. Croix
2. FULL NAME OF CHILD Clark, Elizabeth Rae
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 6, 1921
FATHER
8. Full Name Samuel Harris Clark
9. Residence St. Croix
10. Racial Origin English | 11. Age at last birthday 43
12. Birthplace Walton
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed Quarrier
MOTHER
14. Full Maiden Name Melda Agnes Caldwell
15. Residence St. Croix
16. Racial Origin Irish | 17. Age at last birthday 29
18. Birthplace Sweets Corner
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 Melda A. Clark St. Croix
22. Name of Doctor, nurse or other person in attendance at birth Dr. C.H. Morris
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 September 1921
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