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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000789

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Herbert WilliamHiggins Sex Male

Date of Birth November 6, 1922 Place of Birth StellartonCounty of Pictou

Name of Father Herbert J. Higgins MAIDEN NAME of Mother Alice Stephenson

Residence of Father when child was born Stellarton, Pictou Co., NS Present address of Father Stellarton, Pictou Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Evangeline Higgins Address of Applicant Stellarton, Pictou Co., NS Date 23 April 1942

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Herbert WilliamHiggins

Born at Stellarton in the County of Pictou

That Herbert WilliamHiggins Whose Birth is sought to be registered was

born at Stellarton Pictou County on November 6, 1922

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

As aunt of the said Herbert William Higgins I have personal knowledge of his birth date as set forth above. I was personally present at the birth of the said Herbert William Higgins.

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