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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000037

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William Edmund Sinclair EthelbertConnell Sex Male

Date of Birth March 11, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Samuel Ceifert Connell MAIDEN NAME of Mother Emily Rose McLean

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

Residence of Father when child was born North Street Halifax Ns Present address of Father 207 Agricola Street, Halifax, NS

Occupation of Father at Birth of child Sleep Car Porter with Canadian National Railway Place of birth of Father Barbados, British West Indies

Race Name and present address of Physician in attendance at birth

Signature of Applicant Samuel Connell Address of Applicant 207 Agricola Street, Halifax, NS Date 17 June 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William Edmund Sinclair EthelbertConnell

Born at Halifax in the County of Halifax

That William Edmund Sinclair EthelbertConnell Whose Birth is sought to be registered was

born at Halifax Halifax County on March 11, 1923

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

I am the father

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