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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200403

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

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

Name of Father William James Birkenhead MAIDEN NAME of Mother Sadie Edith Brenner

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

Residence of Father when child was born Halifax Present address of Father 33A Rhode Island Ave.

Occupation of Father at Birth of child Bricklayer Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. Grace Rice

Signature of Applicant William James Birkenhead Address of Applicant 33A Rhode Island Ave. Date 11 February1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William James AlexanderBirkenhead

Born at Halifax in the County of Halifax

That William James AlexanderBirkenhead Whose Birth is sought to be registered was

born at Halifax Halifax County on December 15, 1919

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

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