Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Reta Sampson birth Louisdale, Richmond County on September 25, 1921
Female Birth Registration: Year: 1921 number: 60700559
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Registered No. 60700559
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village Louisdale
2. FULL NAME OF CHILD Sampson, Mary Reta
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 25, 1921
FATHER
8. Full Name Jeffrey Sampson
9. Residence Louisdale
10. Racial Origin French | 11. Age at last birthday 49
12. Birthplace Louisdale
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed
MOTHER
14. Full Maiden Name Georginia Marchand
15. Residence Louisdale
16. Racial Origin French | 17. Age at last birthday 44
18. Birthplace Louisdale
19. Number of children of this mother (including this child)
Living 8 Dead 4 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Jeffrey Sampson Louisdale
22. Name of Doctor, nurse or other person in attendance at birth Dr. B. A. LeBlanc
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 30 Sep. 1921
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