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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000109

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bertrand FrancisSullivan Sex Male

Date of Birth March 26, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father John Bertrand Sullivan MAIDEN NAME of Mother Martha Helen

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

Residence of Father when child was born Lawlor's Island Halifax Co. Ns Present address of Father 3118 21st Street, Long Island City, New York, USA

Occupation of Father at Birth of child Ambulance Driver Place of birth of Father Herring Cove, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bertrand Francis Sullivan Address of Applicant 3118 21st Street, Long Island City, New York, USA Date 4 May 1950

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bertrand FrancisSullivan

Born at Halifax in the County of Halifax

That Bertrand FrancisSullivan Whose Birth is sought to be registered was

born at Halifax Halifax County on March 26, 1923

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

Baptismal certificate. I Martha H. Sullivan am the mother of Bertrand Francis Sullivan. the birth date on the baptismal certificate, March 28 is in error. It should be March 26, 1923, my son was baptized in April and the godmother used the April instead of the March calendar to count back on to determine the birth date.

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