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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200415

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 17, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Archibald William Penton MAIDEN NAME of Mother Jessie Burbridge

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

Residence of Father when child was born Halifax Present address of Father 9A Chatam Ave.

Occupation of Father at Birth of child Soldier Place of birth of Father Winchester, England

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

Signature of Applicant Sgt. Archibald William Penton Address of Applicant 9A Chatam Ave. Date 27 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Charles NorrisPenton Whose Birth is sought to be registered was

born at Halifax Halifax County on December 17, 1919

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

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