Male Birth Registration: Year: 1922 number: 60700865
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Registered No. 60700865
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Richmond
City, Town or Village Sampsonville
2. FULL NAME OF CHILD Burke, William Adrian
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
September 29, 1922
FATHER
8. Full Name Peter Burke
9. Residence Sampsonville, Richmond County
10. Racial Origin French | 11. Age at last birthday 70
12. Birthplace River Bourgeois
13. Occupation: —
(a) Trade or profession Labourer
(b) Business in which employed
MOTHER
14. Full Maiden Name Mary Sampson
15. Residence Sampsonville, Richmond County
16. Racial Origin French | 17. Age at last birthday 40
18. Birthplace Sampsonville
19. Number of children of this mother (including this child)
Living 12 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Peter Burke
22. Name of Doctor, nurse or other person in attendance at birth John Mc Kiggan M.D.
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 19 October 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=421352
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