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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200162

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 29, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Austin Wylie Taylor MAIDEN NAME of Mother Bessie Isabel Martin

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

Residence of Father when child was born Halifax Present address of Father 125 1/2 Hurley St.

Occupation of Father at Birth of child Supt. Place of birth of Father Musquodoboit

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

Signature of Applicant Austin Wylie Taylor Address of Applicant 125 1/2 Hurley St. Date 21 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Floyd ElwinTaylor

Born at Halifax in the County of Halifax

That Floyd ElwinTaylor Whose Birth is sought to be registered was

born at Halifax Halifax County on October 29, 1919

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

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