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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000897

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of HaroldGrant Sex Male

Date of Birth April 1, 1920 Place of Birth PrestonCounty of Halifax

Name of Father William Grant MAIDEN NAME of Mother Mable Simmons

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

Residence of Father when child was born North Preston Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father North Preston

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold Grant Address of Applicant North Preston Date March 21, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of HaroldGrant

Born at Preston in the County of Halifax

That HaroldGrant Whose Birth is sought to be registered was

born at Preston Halifax County on April 1, 1920

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

School and Census Records

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