Male Birth Registration: Year: 1920 number: 66500464
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Registered No. 66500464
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney
2. FULL NAME OF CHILD Samuel,
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
No
6. Legitimate?
Yes
7. Date of Birth
June 18, 1920
FATHER
8. Full Name Andrew Samuel
9. Residence Coxheath
10. Racial Origin Scottish | 11. Age at last birthday 37
12. Birthplace Edinburgh, Scotland
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Emma Barry
15. Residence Coxheath
16. Racial Origin Scottish | 17. Age at last birthday
18. Birthplace Port Hood
19. Number of children of this mother (including this child)
Living 5 Dead 1 Stillborn 1
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Andrew Samuel Coxheath
22. Name of Doctor, nurse or other person in attendance at birth Dr. D.A. McLeod
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 26 August 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=395143
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