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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200319

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James RobertProctor Sex Male

Date of Birth November 28, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father James Robert Proctor MAIDEN NAME of Mother Rhoda Irene Barkhouse

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

Residence of Father when child was born Halifax Present address of Father 641 Robie St.

Occupation of Father at Birth of child Militray barber Place of birth of Father Quebec

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

Signature of Applicant James Robert Proctor Address of Applicant 641 Robie St. Date 03 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James RobertProctor

Born at Halifax in the County of Halifax

That James RobertProctor Whose Birth is sought to be registered was

born at Halifax Halifax County on November 28, 1919

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

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