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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000897

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hector ThomasPollett Sex Male

Date of Birth May 2, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Thomas Pollett MAIDEN NAME of Mother Julie Reid

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Carpenter - Steel Plant Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hector Pollett Address of Applicant RR #3, Goderich, Ontario Date 12 June 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hector ThomasPollett

Born at Sydney in the County of Cape Breton

That Hector ThomasPollett Whose Birth is sought to be registered was

born at Sydney Cape Breton County on May 2, 1922

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

This is my own birth.

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