Male Birth Registration: Year: 1919 number: 64500136
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
64500136
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of John LeonardParks Sex Male
Date of Birth November 7, 1919 Place of Birth SpringhillCounty of Cumberland
Name of Father Jason Parks MAIDEN NAME of Mother Phoebe Rebbeca Field
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Springhill Present address of Father
Occupation of Father at Birth of child Miner Place of birth of Father Birmingham, England
Race Name and present address of Physician in attendance at birth Dr. Withrow
Signature of Applicant Jason Parks Address of Applicant Springhill Date 10 November 1919
Relationship of Applicant to child father
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of John LeonardParks
Born at Springhill in the County of Cumberland
That John LeonardParks Whose Birth is sought to be registered was
born at Springhill Cumberland County on November 7, 1919
My knowledge of the fact and date of such Birth is based on the following Circumstances:
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=401314
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