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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000981

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Albert Elwood JamesHenry Sex Male

Date of Birth January 31, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Henri Henry MAIDEN NAME of Mother Theresa Miller

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

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

Occupation of Father at Birth of child Ladies Tailor Place of birth of Father Holland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Albert Henry Address of Applicant 216 Elsworth Avenue Date 29 March 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Albert Elwood JamesHenry

Born at Halifax in the County of Halifax

That Albert Elwood JamesHenry Whose Birth is sought to be registered was

born at Halifax Halifax County on January 31, 1922

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

The attached Royal Canadian Air Force certificate of discharge confirms my age and identity.

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