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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200044

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William ClarenceStarratt Sex Male

Date of Birth October 9, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Clarence Starratt MAIDEN NAME of Mother Annie Parkhill

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

Residence of Father when child was born Halifax Present address of Father 89 Macara St.

Occupation of Father at Birth of child Chauffeur Place of birth of Father Greens Creek, NS

Race Name and present address of Physician in attendance at birth Dr. O'Brien

Signature of Applicant Clarence Starrall Address of Applicant 89 Macara St. Date 15 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William ClarenceStarratt

Born at Halifax in the County of Halifax

That William ClarenceStarratt Whose Birth is sought to be registered was

born at Halifax Halifax County on October 9, 1919

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

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