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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000426

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hector OrianVienot Sex Male

Date of Birth February 11, 1923 Place of Birth MiltonCounty of Queens

Name of Father   MAIDEN NAME of Mother Hattie Mae Harnish Widow

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hector Orion Vienot Address of Applicant Liverpool, Queens Co., NS Date 27 April 1956

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hector OrianVienot

Born at Milton in the County of Queens

That Hector OrianVienot Whose Birth is sought to be registered was

born at Milton Queens County on February 11, 1923

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

Mother was a widow at the time of the birth. church record gives child's names in reverse order.

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