Male Birth Registration: Year: 1922 number: 65900961
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Registered No. 65900961
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney
2. FULL NAME OF CHILD Clark, John William
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
March 2, 1922
FATHER
8. Full Name William F Clark
9. Residence West Bay, CB
10. Racial Origin English American | 11. Age at last birthday 38
12. Birthplace State of Maine, USA
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Etta McLean
15. Residence West Bay, CB
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace West Bay, CB
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs W F Clark, West Bay, CB
22. Name of Doctor, nurse or other person in attendance at birth Dr. D A McLeod. Captain, Burden (Nurse)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 March 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=429260
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