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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200032

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cyril FrancisKline Sex Male

Date of Birth October 7, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Thomas James Kline MAIDEN NAME of Mother Elizabeth Jane Floyd

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

Residence of Father when child was born Halifax Present address of Father 115 Cedar St.

Occupation of Father at Birth of child Clerk Place of birth of Father Halifax

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

Signature of Applicant John James Kline Address of Applicant 115 Cedar St. Date 07 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cyril FrancisKline

Born at Halifax in the County of Halifax

That Cyril FrancisKline Whose Birth is sought to be registered was

born at Halifax Halifax County on October 7, 1919

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

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