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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000782

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold StaffordHennigar Sex Male

Date of Birth October 26, 1923 Place of Birth Upper KennetcookCounty of Hants

Name of Father Havelock Hennigar MAIDEN NAME of Mother Lucy Jane Houghton

Residence of Father when child was born Upper Kennetcook, Hants Co., NS Present address of Father Upper Kennetcook, Hants Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Upper Kennetcook, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lucy Jane Hennigar Address of Applicant Upper Kennetcook, Hants Co., NS Date 25 February 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold StaffordHennigar

Born at Upper Kennetcook in the County of Hants

That Harold StaffordHennigar Whose Birth is sought to be registered was

born at Upper Kennetcook Hants County on October 26, 1923

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

I am his mother and positively know all the above dates and other information to be true. I also enclose a certificate of baptism taken from church records

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