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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000666

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stanley ClydeGray Sex Male

Date of Birth August 3, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Albert Gray MAIDEN NAME of Mother Gertrude Harding

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 Carpenter Place of birth of Father Sambro, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stanley Gray Address of Applicant 30 Ridgevalley Road, Apr 707, Halifax, NS Date 7 August 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stanley ClydeGray

Born at Halifax in the County of Halifax

That Stanley ClydeGray Whose Birth is sought to be registered was

born at Halifax Halifax County on August 3, 1923

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

Baptismal Certificate Marriage extract

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