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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200290

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 23, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Howard Stubbert MAIDEN NAME of Mother Mary Ellen Delaney

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

Residence of Father when child was born Halifax Present address of Father 271 Barrington St.

Occupation of Father at Birth of child Barber Place of birth of Father North Sydney

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

Signature of Applicant Charles Howard Stubbert Address of Applicant 271 Barrington St. Date 08 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles StanleyStubbert

Born at Halifax in the County of Halifax

That Charles StanleyStubbert Whose Birth is sought to be registered was

born at Halifax Halifax County on November 23, 1919

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

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