Female Birth Registration: Year: 1921 number: 60700544
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Registered No. 60700544
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village L'Ardoise
2. FULL NAME OF CHILD Sampson, Annie Florence
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 8, 1921
FATHER
8. Full Name George Albert Sampson
9. Residence Lardoise, C.B.
10. Racial Origin French | 11. Age at last birthday 27
12. Birthplace Lardoise Country
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Cathrine Ann Laurence
15. Residence Lardoise, C.B.
16. Racial Origin French | 17. Age at last birthday 27
18. Birthplace Lardoise, C.B.
19. Number of children of this mother (including this child)
Living 2 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant George Albert Sampson L'Ardoise, C.B.
22. Name of Doctor, nurse or other person in attendance at birth Mrs. John Sampson, Mrs. Angus Bryand
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 10 September 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406023
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