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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000321

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold ArthurKnox Sex Male

Date of Birth April 5, 1923 Place of Birth Baker SettlementCounty of Lunenburg

Name of Father Arthur Granville Knox MAIDEN NAME of Mother Alma Woodworth

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

Residence of Father when child was born Baker Settlement Lunenburg Co. Ns Present address of Father Baker Settlement, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Baker Settlement, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alma Knox Address of Applicant Baker Settlement, Lunenburg Co., NS Date 25 May 1967

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold ArthurKnox

Born at Baker Settlement in the County of Lunenburg

That Harold ArthurKnox Whose Birth is sought to be registered was

born at Baker Settlement Lunenburg County on April 5, 1923

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

Personal Knowledge

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