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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000235

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of HaroldJones Sex Male

Date of Birth June 14, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother  

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Bessie Henderson Address of Applicant Stormont, Guysborough Co., NS Date 6 March 1961

Relationship of Applicant to child Foster mother by legal adoption

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of HaroldJones

Born at Halifax in the County of Halifax

That HaroldJones Whose Birth is sought to be registered was

born at Halifax Halifax County on June 14, 1924

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

My husband, M.A. Dickson and I obtained this child from the Halifax Infants Home on October 4, 1928. We subsequently adopted him in the County Court by adoption order dated at Antigonish on April 23, 1929. Verifying information from Halifax Infants Home records and adoption records attached.

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