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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000291

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 1, 1920 Place of Birth JogginsCounty of Cumberland

Name of Father Daniel Vance MAIDEN NAME of Mother Sarah White

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

Residence of Father when child was born Joggins, Cumberland Co. Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Springhill, Cumberland Co.

Race Irish Name and present address of Physician in attendance at birth R. W. M. Rockwell

Signature of Applicant Sarah Vance Address of Applicant Joggins, Cumberland Co. Date 16 January 1958

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Joggins in the County of Cumberland

That HenryVance Whose Birth is sought to be registered was

born at Joggins Cumberland County on June 1, 1920

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

I being the mother of Henry Vance, do know for a fact that he was born on the date and place as recorded. Census and school records.

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