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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000013

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry AlmonSarty Sex Male

Date of Birth April 17, 1924 Place of Birth LiverpoolCounty of Queens

Name of Father Charles Walter Sarty MAIDEN NAME of Mother Marion Odessa MacDonald

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

Residence of Father when child was born Liverpool, Queens Co., NS Present address of Father Liverpool, Queens Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father Port Medway, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant H. A. Sarty Address of Applicant Liverpool, Queens Co., NS Date 23 May 1946

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry AlmonSarty

Born at Liverpool in the County of Queens

That Henry AlmonSarty Whose Birth is sought to be registered was

born at Liverpool Queens County on April 17, 1924

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

Certificate of Dr. D. R. Ford attached

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