Female Birth Registration: Year: 1920 number: 60700246
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Registered No. 60700246
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village River Bourgeois
2. FULL NAME OF CHILD Sampson, Mary Margaret Jean
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 21, 1920
FATHER
8. Full Name Charles P. Sampson
9. Residence River Bourgeois
10. Racial Origin French | 11. Age at last birthday 39
12. Birthplace River Bourgeois
13. Occupation: —
(a) Trade or profession Carpenter
(b) Business in which employed
MOTHER
14. Full Maiden Name Agnes C. Burke
15. Residence River Bourgeois
16. Racial Origin French | 17. Age at last birthday 26
18. Birthplace River Bourgeois
19. Number of children of this mother (including this child)
Living 5 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. Charles P. Sampson River Bourgeois
22. Name of Doctor, nurse or other person in attendance at birth Dr. J. A. McDonald Jr.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 September 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=387093
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