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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000680

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Graham SeviasNeil Sex Male

Date of Birth August 15, 1923 Place of Birth TruroCounty of Colchester

Name of Father Michael Albert Neil MAIDEN NAME of Mother Mildred Alice Brunt

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

Residence of Father when child was born Truro Colchester Co. Ns Present address of Father RR #1, Brookfield, Colchester Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father East Noel, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mildred Neil Address of Applicant RR #1, Brookfield, Colchester Co., NS Date 3 April 1977

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Graham SeviasNeil

Born at Truro in the County of Colchester

That Graham SeviasNeil Whose Birth is sought to be registered was

born at Truro Colchester County on August 15, 1923

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

1. I am his mother 2. School record - Public Archives of Nova Scotia (attached) 3. Marriage certificate

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