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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000389

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph WilliamIngram Sex Male

Date of Birth October 16, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur Ingram MAIDEN NAME of Mother Ethel Levy

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

Residence of Father when child was born Halifax Present address of Father Halifax

Occupation of Father at Birth of child Storekeeper Place of birth of Father Halifax

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

Signature of Applicant A. Ingram Address of Applicant 14 Cabot Place, Halifax Date 9 January 1964

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph WilliamIngram

Born at Halifax in the County of Halifax

That Joseph WilliamIngram Whose Birth is sought to be registered was

born at Halifax Halifax County on October 16, 1920

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

Certificate of Baptism

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