Male Birth Registration: Year: 1924 number: 99000727
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000727
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of RolfHead Sex Male
Date of Birth September 18, 1924 Place of Birth SydneyCounty of Cape Breton
Name of Father Adam Head MAIDEN NAME of Mother Louise Rolf
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Deceased
Occupation of Father at Birth of child Steel Worker Place of birth of Father Bell Island, Newfoundland
Race Name and present address of Physician in attendance at birth
Signature of Applicant Edwin K. Head Address of Applicant 6052 Jubilee Road, Halifax, NS Date December 1981
Relationship of Applicant to child Son
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of RolfHead
Born at Sydney in the County of Cape Breton
That RolfHead Whose Birth is sought to be registered was
born at Sydney Cape Breton County on September 18, 1924
My knowledge of the fact and date of such Birth is based on the following Circumstances:
See attached documents - census report and school record
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=460252
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