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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000549

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Granville RalphRomans Sex

Date of Birth March 5, 1920 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Stewart Romans MAIDEN NAME of Mother Laura Brunswick

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

Residence of Father when child was born Hammonds Plains Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Hammonds Plains

Race Scottish Name and present address of Physician in attendance at birth Dr. Granville

Signature of Applicant Beryl D. Romans Address of Applicant Hammonds Plains Date June 4, 1971

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Granville RalphRomans

Born at Hammonds Plains in the County of Halifax

That Granville RalphRomans Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on March 5, 1920

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

Baptism Certificate

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