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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200025

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stanley ArchibaldJosey Sex Male

Date of Birth October 6, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Wallace Archibald Josey MAIDEN NAME of Mother Edith May Spears

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

Residence of Father when child was born Halifax Present address of Father 156 North Street

Occupation of Father at Birth of child Carpenter Place of birth of Father Spry Harbour

Race Name and present address of Physician in attendance at birth Dr. D.R. McDonald

Signature of Applicant Wallace A. Josey Address of Applicant 156 North Street Date 28 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stanley ArchibaldJosey

Born at Halifax in the County of Halifax

That Stanley ArchibaldJosey Whose Birth is sought to be registered was

born at Halifax Halifax County on October 6, 1919

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

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