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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500040

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold Alexander JacksonAnderson Sex Male

Date of Birth October 3, 1919 Place of Birth OxfordCounty of Cumberland

Name of Father Stanley Berymore Anderson MAIDEN NAME of Mother Ila Florence Peel

Residence of Father when child was born Oxford Present address of Father

Occupation of Father at Birth of child Barber Place of birth of Father Springhill

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

Signature of Applicant Ila Florence Anderson Address of Applicant Oxford Date 31 October 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold Alexander JacksonAnderson

Born at Oxford in the County of Cumberland

That Harold Alexander JacksonAnderson Whose Birth is sought to be registered was

born at Oxford Cumberland County on October 3, 1919

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

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