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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100127

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harry ClydeThorburn Sex

Date of Birth March 31, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father Gilbert Mark Thorburn MAIDEN NAME of Mother Grace May Foster

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

Residence of Father when child was born Liverpool Present address of Father deceased

Occupation of Father at Birth of child Foundry Worker Place of birth of Father Liverpool

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harry C. Thorburn Address of Applicant 314 Spartan Ave., Ottawa Date June 19, 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harry ClydeThorburn

Born at Liverpool in the County of Queens

That Harry ClydeThorburn Whose Birth is sought to be registered was

born at Liverpool Queens County on March 31, 1920

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

My birth is the subject of this affidavit see exhibit "A".

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