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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000792

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Howard HenryGray Sex Male

Date of Birth December 3, 1920 Place of Birth KentvilleCounty of Kings

Name of Father William Gray MAIDEN NAME of Mother Clara  Ham

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

Residence of Father when child was born Halifax Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Dartmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant H.H. Gray Address of Applicant Purcell's Cove Date August 10, 1976

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Howard HenryGray

Born at Kentville in the County of Kings

That Howard HenryGray Whose Birth is sought to be registered was

born at Kentville Kings County on December 3, 1920

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

Baptismal

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