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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000876

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James LloydHerrett Sex Male

Date of Birth July 2, 1923 Place of Birth SpringhillCounty of Cumberland

Name of Father James Matthew Herrett MAIDEN NAME of Mother Catherine Sweeney

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

Residence of Father when child was born Victoria Street Springhill Cumberland Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Springhill, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Lloyd Herrett Address of Applicant 247 Park Row, Woodstock, Ontario Date 27 June 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James LloydHerrett

Born at Springhill in the County of Cumberland

That James LloydHerrett Whose Birth is sought to be registered was

born at Springhill Cumberland County on July 2, 1923

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

Letter dated July 17/78 - Statistics Canada Letter dated March 29/78 - Springhill, Cumberland Co., NS showing a lack of school records in Springhill Letter dated May 29/78 - Springhill, Cumberland Co., NS showing a lack of school records in Springhill

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