| Record ID | 21629 |
| Surname | Clark |
| Given names | Grace |
| Date of admission | 1891.09.21 |
| Admitted by | G.A.K. |
| Age in years | 7 |
| Age in months | |
| Age in days | |
| Condition | Imbecile |
| Date landed | |
| Died or discharged | |
| Date of death or discharge | |
| Nativity | Kings County |
| Broader place of origin | |
| Parish of residence | St. John |
| Time in house | |
| Time in province | |
| Remarks | |
| Page | 221 |
| Vessel | |
| Vessle type | |
| Master | |
| Religion | Presbyterian |
| Departure | |
| Landed | |