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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000279

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cecil AnthonyCharlton Sex Male

Date of Birth January 14, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Louis Henry Charlton MAIDEN NAME of Mother Violet White

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

Residence of Father when child was born Halifax Present address of Father deceased

Occupation of Father at Birth of child Linatype operator Place of birth of Father Halifax

Race White Name and present address of Physician in attendance at birth Midwife

Signature of Applicant Joan A. Charlton Address of Applicant 85 Summit St. Halifax Date June 13, 1960

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cecil AnthonyCharlton

Born at Halifax in the County of Halifax

That Cecil AnthonyCharlton Whose Birth is sought to be registered was

born at Halifax Halifax County on January 14, 1921

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

Certificate of Baptism

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