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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100256

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harvey LewisDort Sex Male

Date of Birth May 7, 1920 Place of Birth Half Way CoveCounty of Guysborough

Name of Father Levi  Dort MAIDEN NAME of Mother Harriett  Dort

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

Residence of Father when child was born Half Way Cove Present address of Father deceased

Occupation of Father at Birth of child fisherman Place of birth of Father Half Way Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harvey L. Dort Address of Applicant Half Way Cove Date 26 Sept 1979

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harvey LewisDort

Born at Half Way Cove in the County of Guysborough

That Harvey LewisDort Whose Birth is sought to be registered was

born at Half Way Cove Guysborough County on May 7, 1920

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

Baptism and census

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