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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200081

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 16, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father William John Dixon MAIDEN NAME of Mother Ida Florence Stockall

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

Residence of Father when child was born Halifax Present address of Father 5 Hennessey St.

Occupation of Father at Birth of child Baker Place of birth of Father Fermanagh, Ireland

Race Name and present address of Physician in attendance at birth Dr. A.C. Hawkins

Signature of Applicant William J. Dixon Address of Applicant 5 Hennessey St. Date 16 October 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That William ArthurDixon Whose Birth is sought to be registered was

born at Halifax Halifax County on October 16, 1919

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

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