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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200444

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JohnStonley Sex

Date of Birth December 22, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Stonley MAIDEN NAME of Mother Elizabeth Martha Mapplebeck

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

Residence of Father when child was born Halifax Present address of Father 2 Proctor St.

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

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

Signature of Applicant John Stonley Address of Applicant 2 Proctor St. Date 05 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JohnStonley

Born at Halifax in the County of Halifax

That JohnStonley Whose Birth is sought to be registered was

born at Halifax Halifax County on December 22, 1919

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

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