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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93100075

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ivan WilliamJones Sex Male

Date of Birth May 13, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father William Percival Jones MAIDEN NAME of Mother Estelle Elizabeth Bowles

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

Residence of Father when child was born Amherst Present address of Father Amherst

Occupation of Father at Birth of child Pensioner (1st War veteran) Place of birth of Father Fredericton, New Brunswick

Race Black Name and present address of Physician in attendance at birth Dr. F.E. Boudreau, Moncton

Signature of Applicant William Percival Jones Address of Applicant Amherst Date February 25, 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ivan WilliamJones

Born at Amherst in the County of Cumberland

That Ivan WilliamJones Whose Birth is sought to be registered was

born at Amherst Cumberland County on May 13, 1920

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

I am mother of above named Ivan William Jones and as such have personal knowledge that the facts herein stated are true in every particular.

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