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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501295

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry DavidBeaudry Sex Male

Date of Birth August 9, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father David B. Beaudry MAIDEN NAME of Mother Myrtle Boyce

Residence of Father when child was born Dartmouth Present address of Father Tucker City

Occupation of Father at Birth of child Wrecking Master Place of birth of Father Monroe, Michigan

Race White Name and present address of Physician in attendance at birth Dr. Hebb

Signature of Applicant Myrtle Chisholm Address of Applicant 3110 Sourt Bland St., Port Huron, Michigan Date 28 May 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry DavidBeaudry

Born at Dartmouth in the County of Halifax

That Henry DavidBeaudry Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 9, 1920

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

Reference - Mrs. Mable Martin, 20 South Street, Nurse - Mrs. Alice MacDonald, 280 Washington Street, Dartmouth. Cambridge Massachusetts.

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