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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700489

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold AlexanderSnow Sex Male

Date of Birth October 22, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Alexander Snow MAIDEN NAME of Mother Anna MacKenzie

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

Residence of Father when child was born Sydney Mines Present address of Father Fraser Ave.

Occupation of Father at Birth of child Timekeeper Place of birth of Father Sydney Mines

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

Signature of Applicant Alexander Snow Address of Applicant Fraser Ave., Sydney Mines Date 15 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold AlexanderSnow

Born at Sydney Mines in the County of Cape Breton

That Harold AlexanderSnow Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on October 22, 1919

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

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