Male Birth Registration: Year: 1922 number: 99000201
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000201
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Harold JamesSchultz Sex Male
Date of Birth January 21, 1922 Place of Birth HalifaxCounty of Halifax
Name of Father Walter James Schultz MAIDEN NAME of Mother Dolarosa May Sharp
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born 192 Gottingen Street, Halifax Present address of Father Deceased
Occupation of Father at Birth of child Laboureer Place of birth of Father Halifax
Race Name and present address of Physician in attendance at birth
Signature of Applicant H. J. Schultz Address of Applicant 16 Wallace Street, Dartmouth Date 6 February 1956
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Harold JamesSchultz
Born at Halifax in the County of Halifax
That Harold JamesSchultz Whose Birth is sought to be registered was
born at Halifax Halifax County on January 21, 1922
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Certificate of baptism (certified true copy) - signed by E. B. Gabriel and dated 2 February 1956 attached herewith.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=431453
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