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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000243

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph GarnetRose Sex Male

Date of Birth July 16, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Gordon Anthoney Rose MAIDEN NAME of Mother Laura Myatt

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

Residence of Father when child was born Halifax Ns Present address of Father 24 Mountain Road, Armdale, Halifax Co., NS

Occupation of Father at Birth of child Foreman Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Garnet Joseph Rose Address of Applicant 24 Mountain Road, Armdale, Halifax Co., NS Date 2 July 1959

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph GarnetRose

Born at Halifax in the County of Halifax

That Joseph GarnetRose Whose Birth is sought to be registered was

born at Halifax Halifax County on July 16, 1923

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

Certificate of baptism

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