Male Birth Registration: Year: 1921 number: 99000490
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000490
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Basil RemiStoddard Sex Male
Date of Birth October 11, 1921 Place of Birth Little River HarbourCounty of Yarmouth
Name of Father Lovette E. Stoddard MAIDEN NAME of Mother Charlotte Surette
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Little River Harbour Present address of Father deceased
Occupation of Father at Birth of child Labourer Place of birth of Father Lower Clarks Harbour
Race Canadian Name and present address of Physician in attendance at birth W.E. O'Brien
Signature of Applicant Basil Remi Stoddard Address of Applicant Newellton Date April 6, 1972
Relationship of Applicant to child Same
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Basil RemiStoddard
Born at Little River Harbour in the County of Yarmouth
That Basil RemiStoddard Whose Birth is sought to be registered was
born at Little River Harbour Yarmouth County on October 11, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
That I attended his birth on that day.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416883
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