Male Birth Registration: Year: 1920 number: 62700393
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Registered No. 62700393
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Inverness
City, Town or Village Saint Joseph du Moine
2. FULL NAME OF CHILD Chiasson, Samuel
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 16, 1920
FATHER
8. Full Name David J. Chiasson
9. Residence Nova Scotia
10. Racial Origin French | 11. Age at last birthday 35
12. Birthplace N.S.
13. Occupation: —
(a) Trade or profession Fishing&Farming
(b) Business in which employed
MOTHER
14. Full Maiden Name Elize. Poirrier
15. Residence Nova Scotia
16. Racial Origin French | 17. Age at last birthday 31
18. Birthplace N.S.
19. Number of children of this mother (including this child)
Living 8 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Daniel J. Chiasson St. Joseph du Moine
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Julia Doucet
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 June 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=390008
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