Male Birth Registration: Year: 1921 number: 66100262
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Registered No. 66100262
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney Mines
2. FULL NAME OF CHILD Clark, Thornton Fredrick
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 15, 1921
FATHER
8. Full Name William Blowers Clark
9. Residence Sydney Mines
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Sydney Mines, NS
13. Occupation: —
(a) Trade or profession Tippleman
(b) Business in which employed Handling Coal
MOTHER
14. Full Maiden Name Dora Jane Howell
15. Residence Sydney Mines
16. Racial Origin English | 17. Age at last birthday 21
18. Birthplace Bristol's Hope, NFLD
19. Number of children of this mother (including this child)
Living 3 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant William Blowers Clark Sydney Mines, NS
22. Name of Doctor, nurse or other person in attendance at birth DR D W Archibald
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 18 April 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=413235
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