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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500025

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 28, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Charles William Berry MAIDEN NAME of Mother Clara Maud Cole

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

Residence of Father when child was born Amherst Present address of Father 131 East Pleasant St.

Occupation of Father at Birth of child Labourer Place of birth of Father West Amherst

Race Name and present address of Physician in attendance at birth Dr. F.E. Boudreau

Signature of Applicant Clara Maud Berry Address of Applicant 131 East Pleasant St. Date 15 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William HaydenBerry

Born at Amherst in the County of Cumberland

That William HaydenBerry Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 28, 1919

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

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