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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200230

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy ArthurVasey Sex Male

Date of Birth November 11, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Francis Arthur Vasey MAIDEN NAME of Mother Elizabeth Connors

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

Residence of Father when child was born Halifax Present address of Father 20 Charles St.

Occupation of Father at Birth of child Acetyline Cutter Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth A.C. Hawkins

Signature of Applicant Elizabeth Vasey Address of Applicant 20 Charles St. Date 26 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy ArthurVasey

Born at Halifax in the County of Halifax

That Roy ArthurVasey Whose Birth is sought to be registered was

born at Halifax Halifax County on November 11, 1919

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

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