Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peter Francis Sampson birth Harbour Au Bouche, Antigonish County on August 7, 1921
Male Birth Registration: Year: 1921 number: 66800437
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Registered No. 66800437
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Antigonish
City, Town or Village Harbour Au Bouche
2. FULL NAME OF CHILD Sampson, Peter Francis
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 7, 1921
FATHER
8. Full Name Freeman Sampson
9. Residence Harbor Au Bouche
10. Racial Origin French | 11. Age at last birthday 32
12. Birthplace Port Felix
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed Fishing
MOTHER
14. Full Maiden Name Mary Pelrine
15. Residence Harbor Au Bouche
16. Racial Origin French | 17. Age at last birthday 34
18. Birthplace Harbor Au Bouche
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 Freeman Sampson Harbor Au Bouche
22. Name of Doctor, nurse or other person in attendance at birth Mrs. Decoste (Nurse)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 9 August 1921
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