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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200189

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EdwardO'Connell Sex Male

Date of Birth November 4, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Laurence Joseph O'Connell MAIDEN NAME of Mother Margaret Gates

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

Residence of Father when child was born Halifax Present address of Father 809 Barrington St.

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

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

Signature of Applicant Laurence J. O'Connell Address of Applicant 809 Barrington St. Date 25 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EdwardO'Connell

Born at Halifax in the County of Halifax

That EdwardO'Connell Whose Birth is sought to be registered was

born at Halifax Halifax County on November 4, 1919

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

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