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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000197

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alston SinclareSymonds Sex Male

Date of Birth May 26, 1924 Place of Birth LucasvilleCounty of Halifax

Name of Father Richaed Stanley Symonds MAIDEN NAME of Mother Rita Maude Parsons

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

Residence of Father when child was born Hammonds Plains, Halifax Co., NS Present address of Father 170 Creighton Street, Halifax, NS

Occupation of Father at Birth of child Stone Cutter Place of birth of Father Hammonds Plains, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita Maude Symonds Address of Applicant 170 Creighton Street, Halifax, NS Date 17 August 1957

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alston SinclareSymonds

Born at Lucasville in the County of Halifax

That Alston SinclareSymonds Whose Birth is sought to be registered was

born at Lucasville Halifax County on May 26, 1924

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

The facts are taken from the family Bible (original entry) The spelling of the record given name is as stated abovee and not as the common spelling in school record. On family bible record.

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