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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000025

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eric BaxterJollimore Sex Male

Date of Birth September 17, 1923 Place of Birth Hubbards, Halifax Co., NSCounty of Halifax

Name of Father Birney Baxter Jollimore MAIDEN NAME of Mother Gladys Huskin

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Queensland Halifax Co. Ns Present address of Father Hubbards, Halifax Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Queensland, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Birney Jollimore Address of Applicant Hubbards, Halifax Co., NS Date October 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eric BaxterJollimore

Born at Hubbards, Halifax Co., NS in the County of Halifax

That Eric BaxterJollimore Whose Birth is sought to be registered was

born at Hubbards, Halifax Co., NS Halifax County on September 17, 1923

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

Mother

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