Birth Registration: Year: 1922 number: 64100546
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Registered No. 64100546
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cumberland
City, Town or Village Lorneville
2. FULL NAME OF CHILD Chapman, Clair Elmore
3. Sex of child
4. Twin, triplet or other?
5. Was the child born alive?
6. Legitimate?
7. Date of Birth
October 4, 1922
FATHER
8. Full Name Roy Fielding Chapman
9. Residence Chapman Settlement
10. Racial Origin English | 11. Age at last birthday 25
12. Birthplace Chapman Settlement
13. Occupation: —
(a) Trade or profession Farming
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Sarah Isadora Bernice Black
15. Residence Lorneville
16. Racial Origin English | 17. Age at last birthday 18
18. Birthplace Lorneville
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 Mrs Roy F. Chapman Lorneville, Cumb.
22. Name of Doctor, nurse or other person in attendance at birth Dr. C. M. Weeks
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 23 October 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=426287
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