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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000670

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carlton DonaldHarris Sex Male

Date of Birth October 7, 1920 Place of Birth East FerryCounty of Digby

Name of Father Harry Byron Harris MAIDEN NAME of Mother Edith Blanche Theriault

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

Residence of Father when child was born East Ferry Present address of Father East Ferry

Occupation of Father at Birth of child Farmer Place of birth of Father East Ferry

Race English French Name and present address of Physician in attendance at birth Dr. F.E. Rice

Signature of Applicant Mrs. Harry Harris Address of Applicant East Ferry Date November 4, 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carlton DonaldHarris

Born at East Ferry in the County of Digby

That Carlton DonaldHarris Whose Birth is sought to be registered was

born at East Ferry Digby County on October 7, 1920

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

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