Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Russell Sceymour Sample birth Trenton, Pictou County on August 16, 1921
Male Birth Registration: Year: 1921 number: 61100429
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Registered No. 61100429
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Trenton
2. FULL NAME OF CHILD Sample, Russell Sceymour
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
August 16, 1921
FATHER
8. Full Name Daniel Seymour Sample
9. Residence Trenton
10. Racial Origin English | 11. Age at last birthday 29
12. Birthplace P.E.I.
13. Occupation: —
(a) Trade or profession Blacksmith
(b) Business in which employed Steel Worker
MOTHER
14. Full Maiden Name Irene Crooks
15. Residence Trenton
16. Racial Origin Irish | 17. Age at last birthday 21
18. Birthplace Trenton
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Trenton, NS
22. Name of Doctor, nurse or other person in attendance at birth Dr Ballam, Mrs A Carmicheal
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 September 1921
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Note: Error on the name and this person was called Daniel Seymour Sample Jr. Error on his older siblings names that were corrected but he died at age 29.