Male Birth Registration: Year: 1921 number: 66100794
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Registered No. 66100794
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney Mines
2. FULL NAME OF CHILD Matthews, 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
July 14, 1921
FATHER
8. Full Name George Llewellyn Matthews
9. Residence Sydney Mines, Cape Breton Co., NS
10. Racial Origin English | 11. Age at last birthday 35
12. Birthplace Newfoundland
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Miner
MOTHER
14. Full Maiden Name Susanna Matthews
15. Residence Sydney Mines, Cape Breton Co., NS
16. Racial Origin English | 17. Age at last birthday 29
18. Birthplace Newfoundland
19. Number of children of this mother (including this child)
Living 6 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Sydney Mines, Cape Breton Co., NS
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Frederick Moore
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 July 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=413764
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