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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700556

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of WalterHead Sex Male

Date of Birth October 10, 1919 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Hubert Heod MAIDEN NAME of Mother Florence Jean Treen

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

Residence of Father when child was born New Waterford Present address of Father

Occupation of Father at Birth of child Coal miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth Dr. A.W. Miller

Signature of Applicant Hubert Heod Address of Applicant New Waterford Date 30 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of WalterHead

Born at New Waterford in the County of Cape Breton

That WalterHead Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on October 10, 1919

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

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