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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500131

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John RobertCharman Sex Male

Date of Birth November 28, 1919 Place of Birth WallaceCounty of Cumberland

Name of Father Melvile McKay Charman MAIDEN NAME of Mother Mabel Axley Charman

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

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

Occupation of Father at Birth of child Druggist Place of birth of Father Wallace

Race Name and present address of Physician in attendance at birth Dr. F.D. Chairman

Signature of Applicant Melvile McKay Charman Address of Applicant Wallace Date 05 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John RobertCharman

Born at Wallace in the County of Cumberland

That John RobertCharman Whose Birth is sought to be registered was

born at Wallace Cumberland County on November 28, 1919

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

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