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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200513

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Horrace WinslowBayers Sex Male

Date of Birth December 31, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Lemuel J Bayers MAIDEN NAME of Mother Elsie M Goddard

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

Residence of Father when child was born Halifax Present address of Father 19 Baur St.

Occupation of Father at Birth of child Chauffeur Place of birth of Father West Petpeswick

Race Name and present address of Physician in attendance at birth Dr. F.S. Finlay

Signature of Applicant Lemuel J, Bayers Address of Applicant 19 Baur St. Date 18 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Horrace WinslowBayers

Born at Halifax in the County of Halifax

That Horrace WinslowBayers Whose Birth is sought to be registered was

born at Halifax Halifax County on December 31, 1919

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

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