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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000517

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis ClarenceSlauenwhite Sex Male

Date of Birth September 30, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Ensley Slauenwhite MAIDEN NAME of Mother Annie Slauenwhite

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

Residence of Father when child was born Halifax Ns Present address of Father Deceased

Occupation of Father at Birth of child Stevedore Place of birth of Father Terrance Bay, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Clarence F. Slauenwhite Address of Applicant Apt 245, Niove Terrace, Halifax, NS Date 11 April 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis ClarenceSlauenwhite

Born at Halifax in the County of Halifax

That Francis ClarenceSlauenwhite Whose Birth is sought to be registered was

born at Halifax Halifax County on September 30, 1923

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

Baptismal certificate

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