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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500006

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harry RosenellAllaby Sex Male

Date of Birth October 7, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father George Everett Allaby MAIDEN NAME of Mother Viola Morgan Chapman

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

Residence of Father when child was born Amherst Present address of Father 32 Clarence St.

Occupation of Father at Birth of child Accountant Place of birth of Father Lewisville, NB

Race Name and present address of Physician in attendance at birth Dr. B.A. Goodwin

Signature of Applicant George Everett Allaby Address of Applicant 32 Clarence St. Date 12 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harry RosenellAllaby

Born at Amherst in the County of Cumberland

That Harry RosenellAllaby Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 7, 1919

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

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