Male Birth Registration: Year: 1923 number: 91600692
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
91600692
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of James RobertClark Sex Male
Date of Birth November 19, 1921 Place of Birth ChignectoCounty of Cumberland
Name of Father John Benjamin clark MAIDEN NAME of Mother Sadie Scott
Residence of Father when child was born Chignecto, Cumberland Co., NS Present address of Father Chignecto, Cumberland Co., NS
Occupation of Father at Birth of child Machinist Place of birth of Father Truro, Colchester Co., NS
Race Name and present address of Physician in attendance at birth
Signature of Applicant Mrs. John B. Clark Address of Applicant Chignecto, Cumberland Co., NS Date 24 June 1942
Relationship of Applicant to child Mother
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of James RobertClark
Born at Chignecto in the County of Cumberland
That James RobertClark Whose Birth is sought to be registered was
born at Chignecto Cumberland County on November 19, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
That I am his mother and have his birth day in the family bible.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=445005
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