note: transcription publicly contributed - please contact us with comments, errors or omisions

PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200423

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James FarrisSampson Sex Male

Date of Birth December 18, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father James Alexander Sampson MAIDEN NAME of Mother Elizabeth Sampson

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Halifax Present address of Father 216 Lower Water St.

Occupation of Father at Birth of child Stevedore Place of birth of Father River Bourgeois

Race Name and present address of Physician in attendance at birth Dr. Harrison

Signature of Applicant Elizabeth Sampson Address of Applicant 216 Lower Water St. Date 31 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James FarrisSampson

Born at Halifax in the County of Halifax

That James FarrisSampson Whose Birth is sought to be registered was

born at Halifax Halifax County on December 18, 1919

My knowledge of the fact and date of such Birth is based on the following Circumstances:

Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.