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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000509

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur BenedictHawkes Sex Male

Date of Birth December 26, 1921 Place of Birth CaledoniaCounty of Queens

Name of Father Richard Butler Hawkes MAIDEN NAME of Mother Grace Crouse

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

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

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

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. A.C. MacLeod

Signature of Applicant Donald L. Chipman Address of Applicant 8 Jenkins St. Yarmouth Date January 10, 1973

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur BenedictHawkes

Born at Caledonia in the County of Queens

That Arthur BenedictHawkes Whose Birth is sought to be registered was

born at Caledonia Queens County on December 26, 1921

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

Fact of Certificate of his Baptism, attached hereto Record on leaf of Family Bible of Richard Butler Hawkes and Grace Hawkes, his wife (see attached affidavit)

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