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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000016

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur AlfredStevens Sex Male

Date of Birth October 11, 1924 Place of Birth DartmouthCounty of Halifax

Name of Father Henry Alfred Stevens MAIDEN NAME of Mother Cora Leah Lisson

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

Residence of Father when child was born Dartmouth Present address of Father Dartmouth

Occupation of Father at Birth of child Dartmouth Fire Department Place of birth of Father Enfield, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Cora Stevens Address of Applicant 6 Whebby Terrace, Dartmouth, NS Date 18 August 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur AlfredStevens

Born at Dartmouth in the County of Halifax

That Arthur AlfredStevens Whose Birth is sought to be registered was

born at Dartmouth Halifax County on October 11, 1924

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

I am the mother

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