Male Birth Registration: Year: 1921 number: 64300609
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Registered No. 64300609
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Springhill
2. FULL NAME OF CHILD Clark,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
July 21, 1921
FATHER
8. Full Name Walter Clarke
9. Residence Herritt Road, Springhill
10. Racial Origin English | 11. Age at last birthday 29
12. Birthplace Springhill Mines
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Coal Mining
MOTHER
14. Full Maiden Name Hilda DeWolfe
15. Residence Springhill Mines
16. Racial Origin English | 17. Age at last birthday 21
18. Birthplace Marble Mountain
19. Number of children of this mother (including this child)
Living 3 Dead 2 Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Walter Clarke Springhill Mines
22. Name of Doctor, nurse or other person in attendance at birth Dr. Withrow
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411153
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