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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700331

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stephen AloisHolton Sex Male

Date of Birth November 10, 1919 Place of Birth HomervilleCounty of Cape Breton

Name of Father John Holton MAIDEN NAME of Mother Sophie Pastusk

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Russia

Race Name and present address of Physician in attendance at birth A.K. Roy

Signature of Applicant John Holton Address of Applicant Horneville Date 25 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stephen AloisHolton

Born at Homerville in the County of Cape Breton

That Stephen AloisHolton Whose Birth is sought to be registered was

born at Homerville Cape Breton County on November 10, 1919

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

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