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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200093

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 18, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Everett Joseph Carland MAIDEN NAME of Mother Julia St. Clair Dunn

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

Residence of Father when child was born Halifax Present address of Father 301 Oxford St

Occupation of Father at Birth of child Plumber Place of birth of Father Brooklyn, NY

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

Signature of Applicant Everett Joseph Carland Address of Applicant 301 Oxford St. Date 20 October 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That John JosephCarland Whose Birth is sought to be registered was

born at Halifax Halifax County on October 18, 1919

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

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