Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clark birth Moshers Corner, Annapolis County on September 2, 1921
Male Birth Registration: Year: 1921 number: 66900152
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Registered No. 66900152
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Moshers Corner
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
September 2, 1921
FATHER
8. Full Name William Hallett Clark
9. Residence Moshers Corner
10. Racial Origin Irish | 11. Age at last birthday 59
12. Birthplace Moshers Corner
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Laura Ellen Robinson
15. Residence Moshers Corner
16. Racial Origin Irish | 17. Age at last birthday 39
18. Birthplace Bloomington
19. Number of children of this mother (including this child)
Living 5 Dead 2 Stillborn 2
20. Occupation, if other than household duties
21. Name and Post Office address of Informant William H. Clark Moshers Corner
22. Name of Doctor, nurse or other person in attendance at birth Dr. Sponigal, Mrs. John Clark, Mrs. Burke
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 22 October 1921
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