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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000870

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Benjamin AlexanderHenneberry Sex Male

Date of Birth June 11, 1924 Place of Birth Devils IslandCounty of Halifax

Name of Father Edward Henneberry MAIDEN NAME of Mother Alice Henneberry

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

Residence of Father when child was born Devils Island Present address of Father deceased

Occupation of Father at Birth of child Fishermen Place of birth of Father Devils Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Aletha Henneberry Address of Applicant Eastern Passage Date June 1, 1987

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Benjamin AlexanderHenneberry

Born at Devils Island in the County of Halifax

That Benjamin AlexanderHenneberry Whose Birth is sought to be registered was

born at Devils Island Halifax County on June 11, 1924

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

Baptismal

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