Male Birth Registration: Year: 1919 number: 41200375
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
41200375
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of William MathesonBlack Sex Male
Date of Birth December 9, 1919 Place of Birth HalifaxCounty of Halifax
Name of Father Charles Guy Black MAIDEN NAME of Mother Jean MacKenzie Matheson
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Oxford Present address of Father
Occupation of Father at Birth of child Barrister at Law Place of birth of Father Little River, Cumberland Co.
Race Name and present address of Physician in attendance at birth Dr. Charles Morton
Signature of Applicant Charles Guy Black Address of Applicant Oxford Date 08 January 1920
Relationship of Applicant to child father
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of William MathesonBlack
Born at Halifax in the County of Halifax
That William MathesonBlack Whose Birth is sought to be registered was
born at Halifax Halifax County on December 9, 1919
My knowledge of the fact and date of such Birth is based on the following Circumstances:
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=399588
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