Female Birth Registration: Year: 1921 number: 66400182
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Registered No. 66400182
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Florence
2. FULL NAME OF CHILD Clarke, Lillian May
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
January 11, 1921
FATHER
8. Full Name Simeon Clarke
9. Residence Florence, Cape Breton
10. Racial Origin English | 11. Age at last birthday 38
12. Birthplace Victoria, Newfoundland
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed Mining
MOTHER
14. Full Maiden Name Louisa Croft
15. Residence Florence, Cape Breton
16. Racial Origin English | 17. Age at last birthday 30
18. Birthplace Labrador
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant S. Clarke Florence, Cape Breton
22. Name of Doctor, nurse or other person in attendance at birth William G. McKeough
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 January 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414451
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