Male Birth Registration: Year: 1920 number: 99000616
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000616
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Oliver KennethChurch Sex Male
Date of Birth September 30, 1920 Place of Birth Upper VaughanCounty of Halifax
Name of Father Arthur Church MAIDEN NAME of Mother Nina Roland Rafuse
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Upper Vaughan Present address of Father Upper Vaughan
Occupation of Father at Birth of child Carpenter Place of birth of Father Chester
Race Caucasian Name and present address of Physician in attendance at birth Midwife
Signature of Applicant Oliver Church Address of Applicant Windsor Date November 15, 1970
Relationship of Applicant to child self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Oliver KennethChurch
Born at Upper Vaughan in the County of Halifax
That Oliver KennethChurch Whose Birth is sought to be registered was
born at Upper Vaughan Halifax County on September 30, 1920
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Dominion Bureau of Statistics, Census 1921 and 1931. National Registration 1940
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=398299
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