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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500080

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leonard FraserHatfield Sex Male

Date of Birth October 1, 1919 Place of Birth Port GrevilleCounty of Cumberland

Name of Father Otto Albert Hatfield MAIDEN NAME of Mother Ada Tower

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

Residence of Father when child was born Port Greville Present address of Father

Occupation of Father at Birth of child General merchant Place of birth of Father Port Greville

Race Name and present address of Physician in attendance at birth Dr. F.L. Hill

Signature of Applicant Otto Albert Hatfield Address of Applicant Port Greville Date 28 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leonard FraserHatfield

Born at Port Greville in the County of Cumberland

That Leonard FraserHatfield Whose Birth is sought to be registered was

born at Port Greville Cumberland County on October 1, 1919

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

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