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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100415

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Merlie KennethJoseph Sex Male

Date of Birth November 7, 1920 Place of Birth AcaciavilleCounty of Digby

Name of Father Kenneth Joseph MAIDEN NAME of Mother Lillian Mansfield

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Granville Ferry, Annapolis Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Merlie Kenneth Joseph Address of Applicant Toronto, Ontario Date 13 November 2002

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Merlie KennethJoseph

Born at Acaciaville in the County of Digby

That Merlie KennethJoseph Whose Birth is sought to be registered was

born at Acaciaville Digby County on November 7, 1920

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

I was advised by my parents of my date of birth, November 7, 1920 and this information was confirmed by my oldest sister, Kathleen Bright.

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