Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Evelyn May Elizabeth Constance Clark birth Dartmouth, Halifax County on November 4, 1921
Female Birth Registration: Year: 1921 number: 67300679
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Registered No. 67300679
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Dartmouth
2. FULL NAME OF CHILD Clark, Evelyn May Elizabeth Constance
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 4, 1921
FATHER
8. Full Name Emmerson George Frederick Clark
9. Residence Prince Albert Rd. Dartmouth N. S.
10. Racial Origin English | 11. Age at last birthday 20
12. Birthplace Brigden Ontario
13. Occupation: —
(a) Trade or profession Clerk
(b) Business in which employed Imperial Oil Ltd.
MOTHER
14. Full Maiden Name May Saphira Davis
15. Residence 78 Inglish Street Halifax N. S.
16. Racial Origin Canadian | 17. Age at last birthday 23
18. Birthplace Halifax N. S.
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Bessie J. Hiltz 61 Longard Hfx.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Harrison, Bessie Hiltz
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 15 November 1921
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