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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200250

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William Arthur DanielCaswell Sex Male

Date of Birth November 15, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father William Lenard Caswell MAIDEN NAME of Mother Elsie Mary Margaret Janes

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

Residence of Father when child was born Halifax Present address of Father 13 Inglis St.

Occupation of Father at Birth of child Machinist Place of birth of Father Precent, Massachusetts

Race Name and present address of Physician in attendance at birth Dr. P.A. Mcdonald

Signature of Applicant Elsie Mary Margaret Caswell Address of Applicant 13 Inglis St. Date 03 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William Arthur DanielCaswell

Born at Halifax in the County of Halifax

That William Arthur DanielCaswell Whose Birth is sought to be registered was

born at Halifax Halifax County on November 15, 1919

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

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