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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000793

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William HenryWhite Sex Male

Date of Birth January 13, 1924 Place of Birth StellartonCounty of Pictou

Name of Father James Arthur White MAIDEN NAME of Mother Irene Winnifred Hodgkins

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

Residence of Father when child was born Stellarton, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Machinist Place of birth of Father Sheet Harbour, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant William H. White Address of Applicant RR #4, Priestville, Pictou Co., NS Date 3 August 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William HenryWhite

Born at Stellarton in the County of Pictou

That William HenryWhite Whose Birth is sought to be registered was

born at Stellarton Pictou County on January 13, 1924

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

Census record Baptismal record (both on file, Dept of Health, Halifax)

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