Male Birth Registration: Year: 1921 number: 40800632
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Registered No. 40800632
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 Messervey, Samuel
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
May 28, 1921
FATHER
8. Full Name William Messervey
9. Residence 18 Stanley Place, Halifax
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Sandy Point, Nfld.
13. Occupation: —
(a) Trade or profession Stevedore
(b) Business in which employed Longshoreman
MOTHER
14. Full Maiden Name Alice Jane Vincent
15. Residence 18 Stanley Place, Halifax
16. Racial Origin English | 17. Age at last birthday 34
18. Birthplace St. George's, Nfld.
19. Number of children of this mother (including this child)
Living 10 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant G. M. Ambrose 256 Gottingen St., Halifax
22. Name of Doctor, nurse or other person in attendance at birth V. L. Miller, M.D. C.M.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 9 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=404717
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