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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000918

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William HillardArthrell Sex Male

Date of Birth September 28, 1920 Place of Birth StellartonCounty of Pictou

Name of Father John George Arthrell MAIDEN NAME of Mother  Walsh

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

Residence of Father when child was born Stellarton Present address of Father Kirkland Lake

Occupation of Father at Birth of child Miner Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant William Hillard Arthrell Address of Applicant Kirkland Lake Date April 17, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William HillardArthrell

Born at Stellarton in the County of Pictou

That William HillardArthrell Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 28, 1920

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

Original Baptismal Certificate dated December 31, 1920

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