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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000960

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kenneth WalterWarman Sex Male

Date of Birth October 1, 1922 Place of Birth ImperoyalCounty of Halifax

Name of Father alfred Walter Warman MAIDEN NAME of Mother Mary Viola Poeccia or Piche

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

Residence of Father when child was born 22 Marion Heights, Imperoyal, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Employee Imperial Oil Building Place of birth of Father Essex, England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kenneth W. Warman Address of Applicant PO Box 163, Shelburne, B0T 1W0 Date 28 September 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kenneth WalterWarman

Born at Imperoyal in the County of Halifax

That Kenneth WalterWarman Whose Birth is sought to be registered was

born at Imperoyal Halifax County on October 1, 1922

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

My birth date is duly entered in my mothers handwriting in the family bible now in the possession of my sister (Mrs. Dorothy Mae Warman), Bowbrick, Shelburne, Box 613, thomas Street. I was baptized at 3 years of age by the Minister of the United Church at Imperoyal, Halifax I was entered on the Church cradle roll at 3-4 months of age. Photocopy of page of bible attached.

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