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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James HenryTaylor Sex Male

Date of Birth October 26, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father William Henry Taylor MAIDEN NAME of Mother Gladys Mable Andrews

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

Residence of Father when child was born Halifax Present address of Father 100 Queen St.

Occupation of Father at Birth of child Plumber Place of birth of Father Charlottetown, P.E.I.

Race Name and present address of Physician in attendance at birth Dr. Harrison

Signature of Applicant William Henry Taylor Address of Applicant 100 Queen St. Date 04 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James HenryTaylor

Born at Halifax in the County of Halifax

That James HenryTaylor Whose Birth is sought to be registered was

born at Halifax Halifax County on October 26, 1919

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

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