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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500241

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Reginald MackeyHarrison Sex Male

Date of Birth December 3, 1919 Place of Birth MaccanCounty of Cumberland

Name of Father Arnold James Harrison MAIDEN NAME of Mother Evah Pride Cooke

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

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

Occupation of Father at Birth of child Billing clerk Place of birth of Father Maccan

Race Name and present address of Physician in attendance at birth Dr. A.E. Forbes

Signature of Applicant Evah Harrison Address of Applicant Maccan Date 29 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Reginald MackeyHarrison

Born at Maccan in the County of Cumberland

That Reginald MackeyHarrison Whose Birth is sought to be registered was

born at Maccan Cumberland County on December 3, 1919

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

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