Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Vernon Clark birth Stellarton, Pictou County on April 1, 1922
Male Birth Registration: Year: 1922 number: 61100998
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Registered No. 61100998
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Stellarton
2. FULL NAME OF CHILD Clark, David Vernon
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 1, 1922
FATHER
8. Full Name Arthur Hurbert Clark
9. Residence Stellarton, Pictou, Canada
10. Racial Origin English | 11. Age at last birthday 40
12. Birthplace Stellarton, Pictou, Canada
13. Occupation: —
(a) Trade or profession Miner
(b) Business in which employed
MOTHER
14. Full Maiden Name Joehannah Small
15. Residence Stellarton, Pictou, Canada
16. Racial Origin English | 17. Age at last birthday 25
18. Birthplace Stellarton, Pictou, Canada
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
22. Name of Doctor, nurse or other person in attendance at birth Dr, G. W. Witman, Miss B. Sherwin
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10/05/1922
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