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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000282

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carl MorrisWard Sex Male

Date of Birth October 28, 1921 Place of Birth WentworthCounty of Hants

Name of Father Joseph Ward MAIDEN NAME of Mother Hannah Seary

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

Residence of Father when child was born Wentworth Present address of Father Mount Uniacke

Occupation of Father at Birth of child Labourer Place of birth of Father Birmingham, England

Race English Name and present address of Physician in attendance at birth Dr. Owen Keddy

Signature of Applicant Carl M. Ward Address of Applicant Mount Uniacke Date 12 September 1960

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carl MorrisWard

Born at Wentworth in the County of Hants

That Carl MorrisWard Whose Birth is sought to be registered was

born at Wentworth Hants County on October 28, 1921

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

Certificate of Baptism

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