Male Birth Registration: Year: 1921 number: 64300952
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Registered No. 64300952
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, Harold Robert
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 15, 1921
FATHER
8. Full Name Harry Charles Clark
9. Residence Springhill
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Springhill, Cumberland Co
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Mining
MOTHER
14. Full Maiden Name Daisy B Moore
15. Residence Springhill
16. Racial Origin English | 17. Age at last birthday 24
18. Birthplace Londonderry, Colchester
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Harry C Clark Springhill
22. Name of Doctor, nurse or other person in attendance at birth Dr. RR Withrow, Mrs Samuel Granger
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 November 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=411496
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