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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200003

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John FrederickDelaney Sex Male

Date of Birth October 1, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Frederick Delaney MAIDEN NAME of Mother Clara May Walker

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

Residence of Father when child was born Halifax Present address of Father 77 Agricola St.

Occupation of Father at Birth of child Expert Foreman C.N. Railways Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth G.A. McIntosh

Signature of Applicant John F. Delaney Address of Applicant 77 Agricola St. Date 13 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John FrederickDelaney

Born at Halifax in the County of Halifax

That John FrederickDelaney Whose Birth is sought to be registered was

born at Halifax Halifax County on October 1, 1919

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

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