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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000577

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph LloydBartlett Sex

Date of Birth March 2, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Vincent Bartlett MAIDEN NAME of Mother Barbara Jollimore

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

Residence of Father when child was born Terence Bay Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Terence Bay

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

Signature of Applicant Lloyd Bartlett Address of Applicant Box 41 Site 2 SS 5, Lr. Sackville Date February 23, 1972

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Joseph LloydBartlett Whose Birth is sought to be registered was

born at Halifax Halifax County on March 2, 1920

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

Baptism, National Registration.

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