Female Birth Registration: Year: 1921 number: 67300568
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Registered No. 67300568
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Fall River
2. FULL NAME OF CHILD Clayborne, Annie Elizabeth
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 15, 1921
FATHER
8. Full Name Murray Thompson Clayborne
9. Residence Fall River
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Country Harbor
13. Occupation: —
(a) Trade or profession Crane Operator
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Jane Kendell
15. Residence Fall River
16. Racial Origin English | 17. Age at last birthday 31
18. Birthplace Newfoundland
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. M. Clayborne Fall River
22. Name of Doctor, nurse or other person in attendance at birth Dr. Adlington
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 25 Oct 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=415868
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