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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000505

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold CecilTompkin Sex Male

Date of Birth February 3, 1920 Place of Birth BridgewaterCounty of Lunenburg

Name of Father William Tompkin MAIDEN NAME of Mother Charlotte Gertrude Oickle

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

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

Occupation of Father at Birth of child Meat Cutter Place of birth of Father New Canada

Race White Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Louis Wentzell Address of Applicant Bridgewater Date January 23, 1970

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold CecilTompkin

Born at Bridgewater in the County of Lunenburg

That Harold CecilTompkin Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on February 3, 1920

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

Transcript of Church record. Record of entering school for the first time Statement signed by William Tompkin

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