Male Birth Registration: Year: 1922 number: 60700832
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Registered No. 60700832
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village Louisdale
2. FULL NAME OF CHILD Samson, Alphonse A.
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
July 30, 1922
FATHER
8. Full Name Albert T Sampson
9. Residence Louisdale
10. Racial Origin French | 11. Age at last birthday 32
12. Birthplace NS
13. Occupation: —
(a) Trade or profession Fisherman
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Alma Sampson
15. Residence Louisdale
16. Racial Origin French | 17. Age at last birthday 25
18. Birthplace NS
19. Number of children of this mother (including this child)
Living 3 Dead 2 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Mrs Mary Alvina Sampson Louisdale
22. Name of Doctor, nurse or other person in attendance at birth Mrs Lony Sampson (midwife)
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 6th August 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=421319
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