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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000166

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dean AlbertSandford Sex Male

Date of Birth September 7, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father Norman Shaw Sanford MAIDEN NAME of Mother Emma Blake Selfridge

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 Customs Clerk Place of birth of Father Burlington

Race British Name and present address of Physician in attendance at birth

Signature of Applicant Norman Shaw Sanford Address of Applicant Amherst Date April 1951

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dean AlbertSandford

Born at Amherst in the County of Cumberland

That Dean AlbertSandford Whose Birth is sought to be registered was

born at Amherst Cumberland County on September 7, 1920

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

That I am his Father and that I was notified by the Hospital Superintendent of his birth on the evening of September 7, 1920 (Certification from school records attached)

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