Male Birth Registration: Year: 1921 number: 63300641
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Registered No. 63300641
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Guysborough
City, Town or Village Sherbrooke
2. FULL NAME OF CHILD Archibald, 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 9, 1921
FATHER
8. Full Name Alexander George Archibald
9. Residence Glenelg
10. Racial Origin Scottish | 11. Age at last birthday 49
12. Birthplace Nova Scotia
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed Farming
MOTHER
14. Full Maiden Name Belva MacDonald
15. Residence Glenelg
16. Racial Origin Scottish | 17. Age at last birthday 31
18. Birthplace Nova Scotia
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 Alex G. Archibald Glenelg
22. Name of Doctor, nurse or other person in attendance at birth Finlay McDonald M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 June 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=409821
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