Male Birth Registration: Year: 1922 number: 62500153
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Registered No. 62500153
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Inverness
City, Town or Village Pipers Glen
2. FULL NAME OF CHILD McKenzie, Sam
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 17, 1922
FATHER
8. Full Name Hugh McKenzie
9. Residence Pipers Glen
10. Racial Origin Scottish | 11. Age at last birthday 38
12. Birthplace Pipers Glen
13. Occupation: —
(a) Trade or profession Farmer
(b) Business in which employed
MOTHER
14. Full Maiden Name Flora McDonnell
15. Residence Keppoch
16. Racial Origin Scottish | 17. Age at last birthday 25
18. Birthplace Keppoch
19. Number of children of this mother (including this child)
Living 4 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant Hugh McKenzie Pipers Glen
22. Name of Doctor, nurse or other person in attendance at birth Mrs Angus B McFarlane
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 21 July 1922
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=423887
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