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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100320

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 18, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Harry Somerton MAIDEN NAME of Mother Pansy MacIsaac

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

Residence of Father when child was born Glace Bay Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold Joseph Somerton Address of Applicant Glace Bay Date February 20, 1985

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Harold JosephSomerton Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 18, 1920

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

Attached Certificate of Baptism

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