Female Birth Registration: Year: 1922 number: 60700926
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Registered No. 60700926
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 Sampson, Mary Lila
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
November 22, 1922
FATHER
8. Full Name Peter Sampson
9. Residence Sampsonville
10. Racial Origin French | 11. Age at last birthday 42
12. Birthplace L'Ardoise Nova Scotia
13. Occupation: —
(a) Trade or profession Clerk in General Store
(b) Business in which employed General Store
MOTHER
14. Full Maiden Name Maggie Sampson
15. Residence Sampsonville Nova Scotia
16. Racial Origin French | 17. Age at last birthday 38
18. Birthplace Sampsonville Nova Scotia
19. Number of children of this mother (including this child)
Living 9 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Peter Sampson Sampsonville Nova Scotia
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 28th November 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=421413
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