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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800580

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Percy EveretteSargent Sex Male

Date of Birth March 28, 1922 Place of Birth YarmouthCounty of Yarmouth

Name of Father   MAIDEN NAME of Mother Sarah May Renef

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth Sargent Address of Applicant Port Arthur, Ontario Date 24 February 1944

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Percy EveretteSargent

Born at Yarmouth in the County of Yarmouth

That Percy EveretteSargent Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on March 28, 1922

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

I am an Aunt of Percy Everett Renef (now Sargent) and I was present in the home when he was born and remember well the time and date of his birth.

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