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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000102

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earl RussellNeary Sex Male

Date of Birth March 20, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Edward George Neary MAIDEN NAME of Mother Lillian May Pyke

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

Residence of Father when child was born 136 ? Street, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Fireman Place of birth of Father St. John's, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Lillian Neary Address of Applicant 67 Brunswick Street, Halifax Date 2 June 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earl RussellNeary

Born at Halifax in the County of Halifax

That Earl RussellNeary Whose Birth is sought to be registered was

born at Halifax Halifax County on March 20, 1922

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

I am his mother and I know this statement to be true and correct.

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