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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200169

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JamesWheatley Sex Male

Date of Birth October 30, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Anthony Wheatley MAIDEN NAME of Mother Mary Catherine White

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

Residence of Father when child was born Halifax Present address of Father 280 Maynard Dr.

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

Race Name and present address of Physician in attendance at birth V.L. Miller

Signature of Applicant John Anthony Wheatley Address of Applicant 280 Maynard St. Date 08 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JamesWheatley

Born at Halifax in the County of Halifax

That JamesWheatley Whose Birth is sought to be registered was

born at Halifax Halifax County on October 30, 1919

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

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