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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000768

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William EdwardTerry Sex Male

Date of Birth September 1, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Michael Terry MAIDEN NAME of Mother Helen White

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

Residence of Father when child was born Glace Bay Present address of Father dead

Occupation of Father at Birth of child Coal miner Place of birth of Father Sydney

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Morris Address of Applicant Sydney Date February 28, 1976

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William EdwardTerry

Born at Glace Bay in the County of Cape Breton

That William EdwardTerry Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 1, 1920

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

Baptismal Certificate already in your hands, plus family knowledge for over 50 years

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