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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600308

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William ArthurFlett Sex Male

Date of Birth November 16, 1922 Place of Birth BridgetownCounty of Annapolis

Name of Father Walter LWilson Flett MAIDEN NAME of Mother Edith Dorothy Longmire

Residence of Father when child was born Bridgetown, Annapolis Co., NS Present address of Father Payzant Avenue, Dartmouth, Halifax Co., NS

Occupation of Father at Birth of child Salesman Place of birth of Father Campbellton, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant W. W. Flett Address of Applicant Payzant Avenue, Dartmouth, Halifax Co., NS Date 19 March 1935

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William ArthurFlett

Born at Bridgetown in the County of Annapolis

That William ArthurFlett Whose Birth is sought to be registered was

born at Bridgetown Annapolis County on November 16, 1922

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

I am his father

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