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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000868

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stanley BrentonJohnson Sex Male

Date of Birth March 1, 1922 Place of Birth Three Mile PlainsCounty of Hants

Name of Father Stanley Johnson MAIDEN NAME of Mother Eva Emmerson

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

Residence of Father when child was born Three Mile Plains, Hants Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stanley B. Johnson Address of Applicant 2402 Breen Avenue, Halifax Date 29 October 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stanley BrentonJohnson

Born at Three Mile Plains in the County of Hants

That Stanley BrentonJohnson Whose Birth is sought to be registered was

born at Three Mile Plains Hants County on March 1, 1922

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

Census records and National Registration records

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