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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200236

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Durward CliffordStevens Sex Male

Date of Birth November 12, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Joseph C Stevens MAIDEN NAME of Mother Martha Brown

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

Residence of Father when child was born St. John, NB Present address of Father St. John, NB

Occupation of Father at Birth of child Blacksmith Place of birth of Father St. John, NB

Race Name and present address of Physician in attendance at birth Mrs. Kelly

Signature of Applicant Joseph C. Stevens Address of Applicant St. John, NB Date 18 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Durward CliffordStevens

Born at Halifax in the County of Halifax

That Durward CliffordStevens Whose Birth is sought to be registered was

born at Halifax Halifax County on November 12, 1919

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

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