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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200214

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edward Charles RossarioForcier Sex Male

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

Name of Father Edward Narie Michael Forcier MAIDEN NAME of Mother Mary Cecilia Washington

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

Residence of Father when child was born Halifax Present address of Father 191 Kempt Rd

Occupation of Father at Birth of child Labourer Place of birth of Father Anthony, Rhode Island

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

Signature of Applicant Mary Cecilia Forcier Address of Applicant 191 Kempt Rd. Date 21 November 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edward Charles RossarioForcier

Born at Halifax in the County of Halifax

That Edward Charles RossarioForcier 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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