Male Birth Registration: Year: 1921 number: 40800393
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Registered No. 40800393
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Sampson, Joseph Willfred
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
No
7. Date of Birth
April 11, 1921
FATHER
8. Full Name unknown unknown
9. Residence
10. Racial Origin | 11. Age at last birthday
12. Birthplace
13. Occupation: —
(a) Trade or profession
(b) Business in which employed
MOTHER
14. Full Maiden Name Jullitte Sampson
15. Residence The City Home, South St.
16. Racial Origin French | 17. Age at last birthday 17
18. Birthplace Cabage Cove, Richmond Co., C.B. Cape Britton
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 Catherine Graves Halifax Post Office
22. Name of Doctor, nurse or other person in attendance at birth Dr. Almon
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 14 April 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/
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