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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000841

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold JosephJulian Sex Male

Date of Birth November 4, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur Julian MAIDEN NAME of Mother Mary Nolan

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 Stevadore Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold J. Julian Address of Applicant Halifax Date 16 June 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold JosephJulian

Born at Halifax in the County of Halifax

That Harold JosephJulian Whose Birth is sought to be registered was

born at Halifax Halifax County on November 4, 1920

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

Baptismal

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