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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000069

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Keith KingRyerson Sex Male

Date of Birth June 30, 1920 Place of Birth WellingtonCounty of Yarmouth

Name of Father Roy Mortimer Ryerson MAIDEN NAME of Mother Emma Jane Pitman

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

Residence of Father when child was born Wellington Present address of Father Ohio

Occupation of Father at Birth of child Carpenter Place of birth of Father Brooklyn

Race English Name and present address of Physician in attendance at birth Dr. B. Hawkin

Signature of Applicant Roy Ryerson Address of Applicant Ohio Date November 29, 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Keith KingRyerson

Born at Wellington in the County of Yarmouth

That Keith KingRyerson Whose Birth is sought to be registered was

born at Wellington Yarmouth County on June 30, 1920

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

I am the father of Keith King Ryerson

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