Male Birth Registration: Year: 1922 number: 66900411
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Registered No. 66900411
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Annapolis
City, Town or Village Lequille
2. FULL NAME OF CHILD Clark, Harry Ford
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 14, 1922
FATHER
8. Full Name John William Clark
9. Residence Lequille, Anna.
10. Racial Origin Scottish | 11. Age at last birthday 34
12. Birthplace Dalhousie West, Anna.
13. Occupation: —
(a) Trade or profession Lumberman
(b) Business in which employed Anna. Hardwood
MOTHER
14. Full Maiden Name Harriett Lavania Boylan
15. Residence Lequille, Anna.
16. Racial Origin Irish | 17. Age at last birthday 32
18. Birthplace Aldersville, Lunen.
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant John W Clark Lequille, Anna.
22. Name of Doctor, nurse or other person in attendance at birth Dr. Braine
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 12 July 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=429970
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