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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000367

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harvey BordenCropley Sex Male

Date of Birth March 23, 1921 Place of Birth Port LorneCounty of Annapolis

Name of Father Charles W. Cropley MAIDEN NAME of Mother Sabre Mitchell

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

Residence of Father when child was born Port Lorne Present address of Father deceased

Occupation of Father at Birth of child Merchant Place of birth of Father Port Lorne

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. Rupert Morse

Signature of Applicant Harvey B. Cropley Address of Applicant Hampton Date January 10, 1967

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harvey BordenCropley

Born at Port Lorne in the County of Annapolis

That Harvey BordenCropley Whose Birth is sought to be registered was

born at Port Lorne Annapolis County on March 23, 1921

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

Information received from my mother who is still living

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