Male Birth Registration: Year: 1922 number: 40400246
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Registered No. 40400246
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Upshaw, Clayton Elvin
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
April 16, 1922
FATHER
8. Full Name Edward Clyke
9. Residence Prince St., Truro
10. Racial Origin Afro-Canadian | 11. Age at last birthday 24
12. Birthplace Truro
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed
MOTHER
14. Full Maiden Name Hazeltina Upshaw
15. Residence 11 Cornwallis St., Halifax
16. Racial Origin Afro-Canadian | 17. Age at last birthday 19
18. Birthplace Windsor
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties Laundress
21. Name and Post Office address of Informant Hazel Upshaw 11 Cornwallis St., Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. R. Hawkins
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 May 1922
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=418626
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