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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91400019

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EarlAndrews Sex Male

Date of Birth January 12, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Thomas Archibald Andrews MAIDEN NAME of Mother Esther Hatfield

Residence of Father when child was born 35 Kane Street, Halifax, NS Present address of Father 43 Duffus Street, Halifax, NS

Occupation of Father at Birth of child Truckman Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Thomas A. Andrews Address of Applicant 43 Duffus Street, Halifax, NS Date 7 April 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EarlAndrews

Born at Halifax in the County of Halifax

That EarlAndrews Whose Birth is sought to be registered was

born at Halifax Halifax County on January 12, 1923

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

Being the father of the one whose birth is sought to be registered and being present in the premises at 35 Kane Street, Halifax, NS when the child was born.

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