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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000400

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cecil ConstantineMarsman Sex Male

Date of Birth August 25, 1922 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Wilber Marsman MAIDEN NAME of Mother Emma Kaziah Allison

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Hammonds Plains, Halifax Present address of Father Sydney, Cape Breton

Occupation of Father at Birth of child Cooper Place of birth of Father Hammonds Plains, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emma K. Marsman Address of Applicant 2460 Auckland Road Date

Relationship of Applicant to child 10 April 1970

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cecil ConstantineMarsman

Born at Hammonds Plains in the County of Halifax

That Cecil ConstantineMarsman Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on August 25, 1922

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

I am the mother of Cecil Constantine Marsman

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