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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200447

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edward AdolphusSkinner Sex Male

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

Name of Father Andrew Benjamin Skinner MAIDEN NAME of Mother Christine Florette Smith

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

Residence of Father when child was born Halifax Present address of Father 9 King's Place

Occupation of Father at Birth of child Sleeping car porter Place of birth of Father Halifax

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

Signature of Applicant Andrew Benjamin Skinner Address of Applicant 9 King's Place Date 26 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edward AdolphusSkinner

Born at Halifax in the County of Halifax

That Edward AdolphusSkinner 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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