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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000493

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Medford DexterSanford Sex Male

Date of Birth August 30, 1920 Place of Birth Lower BurlingtonCounty of Halifax

Name of Father Raymond Sanford MAIDEN NAME of Mother Sadie  Sanford

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

Residence of Father when child was born Lower Burlington Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Lower Burlington

Race Caucasian Name and present address of Physician in attendance at birth Dr. A. Hines

Signature of Applicant Medford D. Sanford Address of Applicant Newport Date June 30, 1969

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Medford DexterSanford

Born at Lower Burlington in the County of Halifax

That Medford DexterSanford Whose Birth is sought to be registered was

born at Lower Burlington Halifax County on August 30, 1920

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

This is my nephew and I can state definitely he was born in 1920. - Mrs. Gertrude Sanford

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