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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000136

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Percy ReginaldHolden Sex Male

Date of Birth August 9, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father Robert E.  Holden MAIDEN NAME of Mother Mary Elizabeth Robicheau

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

Residence of Father when child was born Yarmouth Present address of Father St. John, N.B.

Occupation of Father at Birth of child Labourer Place of birth of Father Yarmouth

Race English French Name and present address of Physician in attendance at birth Dr. Young

Signature of Applicant Mrs. Mary Holden Address of Applicant 154 Hawthorne Ave. St. John, NB Date August 29, 1949

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Percy ReginaldHolden

Born at Yarmouth in the County of Yarmouth

That Percy ReginaldHolden Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on August 9, 1920

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

(Certificate of Baptism attached) The certificate of baptism attached shows the place of birth incorrectly as St. John, New Brunswick. I went to my home in Yarmouth where this child was born and he has then taken to St. John New Brunswick at 2 weeks of age where he was baptised in 1930. Mrs. Mary Holden.

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