Male Birth Registration: Year: 1922 number: 67400078
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Registered No. 67400078
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Dartmouth
2. FULL NAME OF CHILD Samuel, Victor Renford
3. Sex of child
Male
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
April 16, 1922
FATHER
8. Full Name Wilford Martin Samuel
9. Residence 258 Crichton Ave. Dartmouth
10. Racial Origin African | 11. Age at last birthday 47
12. Birthplace St. Johns, Antiqua, B.W.I
13. Occupation: —
(a) Trade or profession Chef Cook
(b) Business in which employed Sleeping
MOTHER
14. Full Maiden Name Edith Precilla Samuel
15. Residence 238 Crichton Ave. Dartmouth
16. Racial Origin African | 17. Age at last birthday 20
18. Birthplace Dartmouth
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 Wilford Martin Samuel Dartmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. Payzant Mrs. Meredith
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 16 April 1922
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=430971
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