Male Birth Registration: Year: 1921 number: 67300505
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Registered No. 67300505
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Centre Musquodoboit
2. FULL NAME OF CHILD Matheson, Clark Wendall
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 23, 1921
FATHER
8. Full Name Walter Matheson
9. Residence Centre Musquodoboit, Halifax
10. Racial Origin English | 11. Age at last birthday 34
12. Birthplace England
13. Occupation: —
(a) Trade or profession Laborer
(b) Business in which employed
MOTHER
14. Full Maiden Name Leona May Reid
15. Residence Centre Musquodoboit, Halifax
16. Racial Origin Scottish | 17. Age at last birthday 20
18. Birthplace Upper Musquodoboit
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 Mrs. Walter Matheson Centre Musquodoboit Post Office, Halifax.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Charles H. Donkin
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 October 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415806
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