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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200405

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon Ross JrHennigar Sex Male

Date of Birth December 16, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Gordon Ross Hennigar MAIDEN NAME of Mother Bonita Blanche Barker

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

Residence of Father when child was born Halifax Present address of Father 40 Summer St.

Occupation of Father at Birth of child Dental Surgeon Place of birth of Father Chester

Race Name and present address of Physician in attendance at birth Dr. George Murphy

Signature of Applicant Gordon Ross Hennigar Address of Applicant 40 Summer St. Date 22 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon Ross JrHennigar

Born at Halifax in the County of Halifax

That Gordon Ross JrHennigar Whose Birth is sought to be registered was

born at Halifax Halifax County on December 16, 1919

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

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