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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000730

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John CharlesSpears Sex Male

Date of Birth March 11, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Spears MAIDEN NAME of Mother Lillian Slattery

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

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Office Clerk Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ann C. Spears Address of Applicant 152 Common Street, Sydney, Cape Breton Date 26 January 1979

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John CharlesSpears

Born at Halifax in the County of Halifax

That John CharlesSpears Whose Birth is sought to be registered was

born at Halifax Halifax County on March 11, 1922

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

Baptismal certificate dated October 23, 1973 issued by Thomas White, assistant Pastor of St. Marys Basilica, Halifax

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