Female Birth Registration: Year: 1922 number: 60700730
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Registered No. 60700730
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village L'Ardoise
2. FULL NAME OF CHILD Sampson, Rose Herriet
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
March 16, 1922
FATHER
8. Full Name Arthur Sampson
9. Residence L'Ardoise
10. Racial Origin French | 11. Age at last birthday 31
12. Birthplace Lower L'Ardoise
13. Occupation: —
(a) Trade or profession Fishing
(b) Business in which employed
MOTHER
14. Full Maiden Name Leana Martell
15. Residence L'Ardoise CB
16. Racial Origin French | 17. Age at last birthday 25
18. Birthplace L'Ardoise CB
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 Arthur Sampson L'Ardoise
22. Name of Doctor, nurse or other person in attendance at birth Dr. John A McDonald
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 18th March 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=421217
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