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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100222

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles FrancisReardon Sex Male

Date of Birth February 8, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Francis Reardon MAIDEN NAME of Mother Edith Maud Balcom

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles Reardon Address of Applicant 8755 College St. Halifax Date November 12, 1992

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles FrancisReardon

Born at Halifax in the County of Halifax

That Charles FrancisReardon Whose Birth is sought to be registered was

born at Halifax Halifax County on February 8, 1921

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

Baptismal Marriage extract

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