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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501481

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles HenryAllen Sex Male

Date of Birth October 10, 1906 Place of Birth WoodstockCounty of Yarmouth

Name of Father George Bill Allen MAIDEN NAME of Mother Barbara Ellen Hurlbert

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

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

Race white Name and present address of Physician in attendance at birth Dr. Reese L. Blackadar

Signature of Applicant Barbara Ellen Allen Address of Applicant Woodstock Date 29 April 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles HenryAllen

Born at Woodstock in the County of Yarmouth

That Charles HenryAllen Whose Birth is sought to be registered was

born at Woodstock Yarmouth County on October 10, 1906

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

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