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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000507

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold ThomasKnickle Sex Male

Date of Birth September 14, 1922 Place of Birth Blue RocksCounty of Lunenburg

Name of Father Edward Roy Knickle MAIDEN NAME of Mother Annie Cora Corbett

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

Residence of Father when child was born Blue Rocks, Lunenburg Present address of Father Deceased

Occupation of Father at Birth of child Cook Place of birth of Father Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold T. Knickle Address of Applicant 6 Main Avenue, Dartmouth Date 26 March 1974

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold ThomasKnickle

Born at Blue Rocks in the County of Lunenburg

That Harold ThomasKnickle Whose Birth is sought to be registered was

born at Blue Rocks Lunenburg County on September 14, 1922

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

Baptismal Certificate

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