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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000068

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hiram SpencerDelaney Sex Male

Date of Birth November 16, 1922 Place of Birth Central North RiverCounty of Colchester

Name of Father William Edward Delaney MAIDEN NAME of Mother Bertha Lucy Nelson

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

Residence of Father when child was born Central North River, Colchester Present address of Father 67 Ryland Avenue, Truro, Colchester

Occupation of Father at Birth of child Working in lumber woods Place of birth of Father Onslow Mountain, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Bertha Delaney Address of Applicant RR 2, Truro, Colchester Date 5 June 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hiram SpencerDelaney

Born at Central North River in the County of Colchester

That Hiram SpencerDelaney Whose Birth is sought to be registered was

born at Central North River Colchester County on November 16, 1922

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

That I am the mother of the said Hiram Spencer Delaney

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