Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dora Sampson birth Dover, Guysborough County on November 12, 1920
Female Birth Registration: Year: 1920 number: 63300469
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Registered No. 63300469
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Dover
2. FULL NAME OF CHILD Sampson, Dora
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 12, 1920
FATHER
8. Full Name Michael Sampson
9. Residence Dover
10. Racial Origin French | 11. Age at last birthday 25
12. Birthplace Dover
13. Occupation: —
(a) Trade or profession fisherman
(b) Business in which employed fisherman
MOTHER
14. Full Maiden Name Lillian Jane Boudreau
15. Residence Dover
16. Racial Origin French | 17. Age at last birthday 22
18. Birthplace Pe De Great
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Michael Sampson Dover Bay, Guys Co. N.S.
22. Name of Doctor, nurse or other person in attendance at birth Dr. H. Ross
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 November 1920
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