Male Birth Registration: Year: 1921 number: 66400240
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Registered No. 66400240
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Cape Breton
City, Town or Village Sydney
2. FULL NAME OF CHILD Humly, Samson
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
February 24, 1921
FATHER
8. Full Name Hezekiah Humly
9. Residence 118 Harriet Street
10. Racial Origin English | 11. Age at last birthday 28
12. Birthplace Summervile, Newfoundland
13. Occupation: —
(a) Trade or profession Employee of D T & S Co
(b) Business in which employed Riggar
MOTHER
14. Full Maiden Name Connie Jane Russell
15. Residence 178 Harriet St. Sydney CB
16. Racial Origin English | 17. Age at last birthday 26
18. Birthplace Summerville, NFLD
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 Mrs. M Hiscock 107 Bay St
22. Name of Doctor, nurse or other person in attendance at birth Mrs. M Hiscock 107 Bay St
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 4 March 1921
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=414508
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