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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100363

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clifford HenryParis Sex Male

Date of Birth September 11, 1920 Place of Birth Five Mile PlainsCounty of Hants

Name of Father Charles Garfield Paris MAIDEN NAME of Mother Charlotte Lavinia Clarke

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

Residence of Father when child was born Five Miles Plains Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Hartsville

Race Name and present address of Physician in attendance at birth

Signature of Applicant Clifford H. Paris Address of Applicant Newport station Date June 1986

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clifford HenryParis

Born at Five Mile Plains in the County of Hants

That Clifford HenryParis Whose Birth is sought to be registered was

born at Five Mile Plains Hants County on September 11, 1920

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

My birth took place in my own home. Mother was assisted by Mid-wife whom now is deceased. No record with doctor. My parents were married August 19, 1920 and I was born September 11, 1920 - the same year. Have accepted year of birth re: Census June 1921 - day and month - school record.

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