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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000219

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Walter FrederickCrowell Sex Male

Date of Birth January 5, 1922 Place of Birth Eastern PassageCounty of Halifax

Name of Father Percy Crowell MAIDEN NAME of Mother Dorothy Carey

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

Residence of Father when child was born Eastern Passage, Halifax Present address of Father St. Croix, Hants

Occupation of Father at Birth of child Painter Place of birth of Father Brooklyn, Hants

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Dorothy Crowell Address of Applicant St. Croix, Hants Date 10 February 1947

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Walter FrederickCrowell

Born at Eastern Passage in the County of Halifax

That Walter FrederickCrowell Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on January 5, 1922

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

I was in attendance as nurse. Army record and school record.

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