Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
On Mary Samson birth Petit-de-Grat, Richmond County on October 28, 1919
Female Birth Registration: Year: 1919 number: 60700010
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Registered No. 60700010
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village Petit-de-Grat
2. FULL NAME OF CHILD Samson, On Mary
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
October 28, 1919
FATHER
8. Full Name Helaire A. Samson
9. Residence Petit-de-Grat
10. Racial Origin French | 11. Age at last birthday 26
12. Birthplace Petit-de-Grat
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Alma Samson
15. Residence Cabbage Cove
16. Racial Origin French | 17. Age at last birthday 24
18. Birthplace Cabbage Cove
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 Helaire A. Samson Petit-de-Grat
22. Name of Doctor, nurse or other person in attendance at birth Charlotte Martell (midwife)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 November 1919
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