Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Clarence Richard Cleveland birth Blandford, Lunenburg County on July 28, 1922
Male Birth Registration: Year: 1922 number: 61800051
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Registered No. 61800051
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Lunenburg
City, Town or Village Blandford
2. FULL NAME OF CHILD Cleveland, Clarence Richard
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 28, 1922
FATHER
8. Full Name Warren Fendwick Cleveland
9. Residence Blandford
10. Racial Origin Dutch | 11. Age at last birthday 31
12. Birthplace Blandford
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Oda Violet Gates
15. Residence Blandford
16. Racial Origin Dutch | 17. Age at last birthday 22
18. Birthplace Blandford
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs Warren Cleveland Blandford
22. Name of Doctor, nurse or other person in attendance at birth Dr. Skinner, Mrs Josiah Zinck
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 17 August 1922
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