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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800240

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Everett HerbertHarris Sex Male

Date of Birth May 14, 1921 Place of Birth Central ChebogueCounty of Yarmouth

Name of Father Charles Harris MAIDEN NAME of Mother Minnie Edith Pierce

Residence of Father when child was born Central Chebogue, Yarmouth Co., NS Present address of Father Salem, Yarmouth Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father Arcadia, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Minnie E. Harris Address of Applicant Salem, Yarmouth Co., NS Date 8 May 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Everett HerbertHarris

Born at Central Chebogue in the County of Yarmouth

That Everett HerbertHarris Whose Birth is sought to be registered was

born at Central Chebogue Yarmouth County on May 14, 1921

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

I am the mother of Everett Herbert Harris

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