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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000400

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hugh AlbertSoulis Sex Male

Date of Birth October 19, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Pearl Otis Soulis MAIDEN NAME of Mother Marion Rose Campbell

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

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

Occupation of Father at Birth of child Merchant Place of birth of Father Smith's Cove, Digby Co.

Race White Name and present address of Physician in attendance at birth Dr. H. K. MacDonald

Signature of Applicant Hugh A. soulis Address of Applicant Queensland, Halifax Co. Date 11 September 1964

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hugh AlbertSoulis

Born at Halifax in the County of Halifax

That Hugh AlbertSoulis Whose Birth is sought to be registered was

born at Halifax Halifax County on October 19, 1920

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

Baptism certificate and marriage record

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