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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200128

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 24, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father William Constantine Perry MAIDEN NAME of Mother Ida Estelle Victoria Thomas

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

Residence of Father when child was born Truro Present address of Father

Occupation of Father at Birth of child Clergyman Place of birth of Father Jamaica, British West Indies

Race Name and present address of Physician in attendance at birth Dr. G.A. MacDonald

Signature of Applicant William Constantine Perry Address of Applicant Truro, NS Date 07 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William Floyd ThomasPerry

Born at Halifax in the County of Halifax

That William Floyd ThomasPerry Whose Birth is sought to be registered was

born at Halifax Halifax County on October 24, 1919

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

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