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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200009

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 3, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Thomas Garth MAIDEN NAME of Mother Isabel Florence Fitzgerald

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

Residence of Father when child was born Halifax Present address of Father 46 Gottingen Street

Occupation of Father at Birth of child Ship's cook Place of birth of Father Liverpool, England

Race Name and present address of Physician in attendance at birth Dr. L. Thomas

Signature of Applicant John T. Garth Address of Applicant 46 Gottingen St., Halifax Date 12 October 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That John RichardGarth Whose Birth is sought to be registered was

born at Halifax Halifax County on October 3, 1919

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

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