Female Birth Registration: Year: 1920 number: 66800149
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Registered No. 66800149
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Antigonish
City, Town or Village Havre Boucher
2. FULL NAME OF CHILD Sampson, Margaret Louise
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 22, 1920
FATHER
8. Full Name Freeman Sampson
9. Residence Havre Boucher
10. Racial Origin French | 11. Age at last birthday 35
12. Birthplace Port Felix
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Mary Pelerine
15. Residence Havre Boucher
16. Racial Origin French | 17. Age at last birthday 35
18. Birthplace Havre Boucher
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 Freeman Sampson
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Decoste (nurse)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 24 May 1920
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=395956
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