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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000448

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arrnant GeorgeMillett Sex Male

Date of Birth November 13, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father Frederick Edward Millett MAIDEN NAME of Mother Mary LeBlanc

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Salmon River

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

Signature of Applicant A.G. Millett Address of Applicant Halifax Date May 15, 1967

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arrnant GeorgeMillett

Born at Liverpool in the County of Queens

That Arrnant GeorgeMillett Whose Birth is sought to be registered was

born at Liverpool Queens County on November 13, 1920

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

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