Female Birth Registration: Year: 1922 number: 60700747
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Registered No. 60700747
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village River Bourgeois
2. FULL NAME OF CHILD Sampson, Mary Florence Adeline
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 9, 1922
FATHER
8. Full Name John J. Sampson
9. Residence River Bourgeois
10. Racial Origin French | 11. Age at last birthday 59
12. Birthplace River Bourgeois
13. Occupation: —
(a) Trade or profession Diver
(b) Business in which employed
MOTHER
14. Full Maiden Name Josephine Beranger
15. Residence River Bourgeois
16. Racial Origin French | 17. Age at last birthday 38
18. Birthplace River Bourgeois
19. Number of children of this mother (including this child)
Living 7 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs. John J. Sampson River Bourgeois
22. Name of Doctor, nurse or other person in attendance at birth Dr. J.A. McDonald Jr.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6 May 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=421234
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