Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Eliza Sampson birth Woodside, Halifax County on June 17, 1922
Female Birth Registration: Year: 1922 number: 67400279
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Registered No. 67400279
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Halifax
City, Town or Village Woodside
2. FULL NAME OF CHILD Sampson, Mary Eliza
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
June 17, 1922
FATHER
8. Full Name Colin Daniel Sampson
9. Residence Woodside
10. Racial Origin French | 11. Age at last birthday 19
12. Birthplace Lower L'Ardoise
13. Occupation: —
(a) Trade or profession
(b) Business in which employed Hospital work
MOTHER
14. Full Maiden Name Bertha Florence Lavers
15. Residence Woodside
16. Racial Origin English | 17. Age at last birthday 20
18. Birthplace Georgetown, Prince Edward Island
19. Number of children of this mother (including this child)
Living 1 Dead Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant C.D. Sampson Nova Scotia Hospital, Dartmouth
22. Name of Doctor, nurse or other person in attendance at birth Dr. Lawson, Nurse Mrs. P. Hennebery
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 31 July 1922
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