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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200210

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick EmileCallis Sex Male

Date of Birth November 8, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father H. Edward Callis MAIDEN NAME of Mother Marie Briand

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

Residence of Father when child was born Halifax Present address of Father 10 McCully St.

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

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

Signature of Applicant Edward Callis Address of Applicant 10 McCully St. Date 28 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick EmileCallis

Born at Halifax in the County of Halifax

That Frederick EmileCallis Whose Birth is sought to be registered was

born at Halifax Halifax County on November 8, 1919

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

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