Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sams birth Yarmouth, Yarmouth County on May 19, 1920
Male Birth Registration: Year: 1920 number: 60300405
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Registered No. 60300405
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Yarmouth
City, Town or Village Yarmouth
2. FULL NAME OF CHILD Sams,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
May 19, 1920
FATHER
8. Full Name James Sams
9. Residence Yarmouth
10. Racial Origin English | 11. Age at last birthday 27
12. Birthplace Newfoundland
13. Occupation: —
(a) Trade or profession Laborer
(b) Business in which employed Wood Working Factory
MOTHER
14. Full Maiden Name Cecile Pothier
15. Residence Yarmouth
16. Racial Origin | 17. Age at last birthday 30
18. Birthplace Wedgeport
19. Number of children of this mother (including this child)
Living 1 Dead 2 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Cecile Samms
22. Name of Doctor, nurse or other person in attendance at birth G. W. T. Farish
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 20 May 1920
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