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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100173

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James RichardBeazley Sex Male

Date of Birth January 19, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Albert Beazley MAIDEN NAME of Mother Irene Christian

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 Stevedore Place of birth of Father Herring Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Richard Beazley Address of Applicant Armdale Date July 30, 1982

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James RichardBeazley

Born at Halifax in the County of Halifax

That James RichardBeazley Whose Birth is sought to be registered was

born at Halifax Halifax County on January 19, 1920

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

Baptismal

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