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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000278

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Philip CorneliusBuchanan Sex

Date of Birth June 25, 1920 Place of Birth Kempt RoadCounty of Richmond

Name of Father Dan Buchanan MAIDEN NAME of Mother Emma Laurie

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

Residence of Father when child was born Kempt Road Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Kempt Road

Race Scottish Name and present address of Physician in attendance at birth Dr. M.H. MacKay (Deceased)

Signature of Applicant Philip Cornelius Buchanan Address of Applicant 85 Byng Avenue, Sydney Date July 2, 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Philip CorneliusBuchanan

Born at Kempt Road in the County of Richmond

That Philip CorneliusBuchanan Whose Birth is sought to be registered was

born at Kempt Road Richmond County on June 25, 1920

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

Certificate of Baptism

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