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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100350

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Allan SeymourSymonds Sex Male

Date of Birth May 16, 1920 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Richard Symonds MAIDEN NAME of Mother Rita  Parsons

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

Residence of Father when child was born Hammonds Plains Present address of Father deceased

Occupation of Father at Birth of child Stone Mason Place of birth of Father Hammonds Plains

Race Name and present address of Physician in attendance at birth

Signature of Applicant Allen S. Symonds Address of Applicant Halifax Date August 15, 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Allan SeymourSymonds

Born at Hammonds Plains in the County of Halifax

That Allan SeymourSymonds Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on May 16, 1920

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

Family Bible Extract School Census Extract Marriage Extract

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