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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000901

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur WesleyWhitehead Sex Male

Date of Birth May 17, 1922 Place of Birth HarrietsfieldCounty of Halifax

Name of Father William George Whitehead MAIDEN NAME of Mother Mary Eva Whitehead

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Dougfield, England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Arthur W. Whitehead Address of Applicant 6 Whimsical Avenue, Halifax Date 12 July 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur WesleyWhitehead

Born at Harrietsfield in the County of Halifax

That Arthur WesleyWhitehead Whose Birth is sought to be registered was

born at Harrietsfield Halifax County on May 17, 1922

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

Baptism Census National Registration

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