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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602380

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stanely DayNewman Jr. Sex Male

Date of Birth September 22, 1920 Place of Birth BeechvilleCounty of Halifax

Name of Father Stanley Day Newman Sr. MAIDEN NAME of Mother Ethel Veinotte

Residence of Father when child was born Beechville, Halifax Co. Present address of Father Warehouse Point, Connecticut, USA

Occupation of Father at Birth of child Farmer Place of birth of Father Washington, DC, USA

Race Negro Name and present address of Physician in attendance at birth Dr. Warren, Maynard Street, Halifax

Signature of Applicant Stanley Day Newman Address of Applicant 62 Road, Warehouse Point, Connecticut, USA Date 19 March 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stanely DayNewman Jr.

Born at Beechville in the County of Halifax

That Stanely DayNewman Jr. Whose Birth is sought to be registered was

born at Beechville Halifax County on September 22, 1920

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

Father and present at birth

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