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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000578

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clyde ErnestCross Sex

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

Name of Father William Arthur  Cross MAIDEN NAME of Mother Mard 

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

Residence of Father when child was born Woodlawn, Halifax Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Woodlawn

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

Signature of Applicant Clyde E. Cross Address of Applicant 19 Boutiliers Lane Date February 11, 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clyde ErnestCross

Born at Woodlawn in the County of Halifax

That Clyde ErnestCross Whose Birth is sought to be registered was

born at Woodlawn Halifax County on March 2, 1920

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

Sunday School Record, Marriage Record.

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