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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000153

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 11, 1924 Place of Birth YarmouthCounty of Yarmouth

Name of Father John Peter Hubbard MAIDEN NAME of Mother Mary M. Doucette

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

Residence of Father when child was born Yarmouth, NS Present address of Father Yarmouth, NS

Occupation of Father at Birth of child Employee of Cosmos Cotton Mill Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Kenneth Hubbard Address of Applicant Yarmouth, NS Date 30 December 1954

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Yarmouth in the County of Yarmouth

That James KennethHubbard Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on February 11, 1924

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

I am the father and Kenneth was born at home

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