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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600493

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vincent FordPeebles Sex Male

Date of Birth November 8, 1922 Place of Birth Victoria General Hospital, HalifaxCounty of Halifax

Name of Father Laffin Michael Peebles MAIDEN NAME of Mother Minnie May Phillips

Residence of Father when child was born 27 Yukon Street, Halifax, NS Present address of Father French Village, Halifax Co., NS

Occupation of Father at Birth of child Brakeman, Canadian National Railway Place of birth of Father Mulgrave, Guysborough Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Minnie M. Peebles Address of Applicant French Village, Halifax Co., NS Date 9 April 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vincent FordPeebles

Born at Victoria General Hospital, Halifax in the County of Halifax

That Vincent FordPeebles Whose Birth is sought to be registered was

born at Victoria General Hospital, Halifax Halifax County on November 8, 1922

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

Mother of child

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