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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200434

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wendell SprottPublicover Sex Male

Date of Birth December 20, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Sprott Balcom Publicover MAIDEN NAME of Mother Almira Orpah

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

Residence of Father when child was born Halifax Present address of Father 4 Chebucto Rd.

Occupation of Father at Birth of child Carpenter Place of birth of Father Ecum Secum

Race Name and present address of Physician in attendance at birth Dr. G.A. MacIntosh

Signature of Applicant Sprott Balcom Publicover Address of Applicant 4 Chebucto Rd. Date 17 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wendell SprottPublicover

Born at Halifax in the County of Halifax

That Wendell SprottPublicover Whose Birth is sought to be registered was

born at Halifax Halifax County on December 20, 1919

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

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