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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000213

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John HarveyDoubleday Sex Male

Date of Birth October 21, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Walter Doubleday MAIDEN NAME of Mother Mary Minnie Ellen Dominick

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

Residence of Father when child was born Maynard Street Halifax Ns Present address of Father 115 Livingston Street, Halifax, NS

Occupation of Father at Birth of child Janitor Place of birth of Father Rosebank, Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles W. Doubleday Address of Applicant 115 Livingston Street, Halifax, NS Date 15 March 1957

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John HarveyDoubleday

Born at Halifax in the County of Halifax

That John HarveyDoubleday Whose Birth is sought to be registered was

born at Halifax Halifax County on October 21, 1923

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

I am an Aunt (his father's sister) and definitely know that John Harvey Doubleday was born at Halifax, NS the 21st of October 1923 at Halifax, NS. Church record.

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