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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200426

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 18, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Bragg MAIDEN NAME of Mother Eleanor Gertrude Cook

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

Residence of Father when child was born Halifax Present address of Father 850 Barrington St.

Occupation of Father at Birth of child Labourer Place of birth of Father Newfoundland

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

Signature of Applicant Bragg Address of Applicant 850 Barrington St. Date 21 December 1919

Relationship of Applicant to child parent

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Charles RaymondBragg Whose Birth is sought to be registered was

born at Halifax Halifax County on December 18, 1919

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

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