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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501742

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur HowardBerry Sex Male

Date of Birth September 18, 1920 Place of Birth Smiths CoveCounty of Digby

Name of Father William H. Berry MAIDEN NAME of Mother Euta Viola Simmons

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Smith's Cove, Digby Co. Present address of Father Smith's Cove, Digby Co.

Occupation of Father at Birth of child Section Foreman Place of birth of Father Clementsvale, Annapolis Co.

Race English Name and present address of Physician in attendance at birth Dr. L. B. Braine, Annapolis Royal

Signature of Applicant Euta Viola Berry Address of Applicant Smith's Cove, Digby Co. Date 3 March 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur HowardBerry

Born at Smiths Cove in the County of Digby

That Arthur HowardBerry Whose Birth is sought to be registered was

born at Smiths Cove Digby County on September 18, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

I am the mother of Arthur Howard Berry

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