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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000847

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Everett TheodoreOliver Sex Male

Date of Birth September 24, 1922 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Archibald Oliver MAIDEN NAME of Mother Sadie Ford

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

Residence of Father when child was born Hammonds Plains, Halifax co. Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Lucasville, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Everett T. Oliver Address of Applicant Lucasville, Halifax Date 23 June 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Everett TheodoreOliver

Born at Hammonds Plains in the County of Halifax

That Everett TheodoreOliver Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on September 24, 1922

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

National registration School record Census report, 1931 & 1941

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