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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700424

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Israel SeymoreHarrison Sex Male

Date of Birth October 15, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Hyman Harrison MAIDEN NAME of Mother Lillian Levy

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

Residence of Father when child was born Sydney Present address of Father 652 Victoria Rd.

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

Race Name and present address of Physician in attendance at birth Dr. George Nathanson

Signature of Applicant Hyman Harrison Address of Applicant 652 Victoria Rd., Sydney Date 10 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Israel SeymoreHarrison

Born at Sydney in the County of Cape Breton

That Israel SeymoreHarrison Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 15, 1919

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

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