Female Birth Registration: Year: 1922 number: 40400609
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Registered No. 40400609
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Halifax
2. FULL NAME OF CHILD Samuels, Dorothy Annie
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 1, 1922
FATHER
8. Full Name Paul Samuels
9. Residence 10 Alexander Place, Halifax
10. Racial Origin Bulgarian | 11. Age at last birthday 24
12. Birthplace Bulgaria
13. Occupation: —
(a) Trade or profession Day Laborer
(b) Business in which employed Imperial Oil Ltd.
MOTHER
14. Full Maiden Name Bertha Rennie
15. Residence Water St. Halifax
16. Racial Origin Scottish | 17. Age at last birthday 23
18. Birthplace Halifax
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 Mrs. Samuels 10 Alexandra Place, Halifax
22. Name of Doctor, nurse or other person in attendance at birth Dr. Buckley
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 July 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=418988
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