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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000076

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of HarryLevine Sex Male

Date of Birth June 8, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father Max L. Levine MAIDEN NAME of Mother Jennie Benjamin

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

Residence of Father when child was born Haskel St. Yarmouth Present address of Father Saint John, NB

Occupation of Father at Birth of child Tailor Place of birth of Father Lithuania

Race Jewish Name and present address of Physician in attendance at birth Dr. Ferris, Main St. Yarmouth

Signature of Applicant Harry Levine Address of Applicant 152 Paradise Row, Saint John, NB Date April 3, 1948

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of HarryLevine

Born at Yarmouth in the County of Yarmouth

That HarryLevine Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on June 8, 1920

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

Natural Father

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