Female Birth Registration: Year: 1920 number: 61300328
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Registered No. 61300328
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Trenton
2. FULL NAME OF CHILD Sample, Helen Christena
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
7. Date of Birth
January 10, 1920
FATHER
8. Full Name Daniel Seymour Sample
9. Residence Hill Side
10. Racial Origin Scottish | 11. Age at last birthday 31
12. Birthplace P E I
13. Occupation: —
(a) Trade or profession Black Smith
(b) Business in which employed Ship Building
MOTHER
14. Full Maiden Name Irene Crooks
15. Residence Hill Side
16. Racial Origin Irish | 17. Age at last birthday 20
18. Birthplace Trenton
19. Number of children of this mother (including this child)
Living 3 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Trenton
22. Name of Doctor, nurse or other person in attendance at birth DR. Stramberg, Mrs. Edward Hutchson
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=387301
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