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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200180

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jeremiah FrederickCalnew Sex Male

Date of Birth November 2, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Jeremiah Joseph Calnew MAIDEN NAME of Mother Harriet Kathleen Brophy

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

Residence of Father when child was born Halifax Present address of Father 112 Lower Water St.

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

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

Signature of Applicant Jeremiah J. Calnew Address of Applicant 112 Lower Water St. Date 20 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jeremiah FrederickCalnew

Born at Halifax in the County of Halifax

That Jeremiah FrederickCalnew Whose Birth is sought to be registered was

born at Halifax Halifax County on November 2, 1919

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

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