Male Birth Registration: Year: 1906 number: 93400999
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
93400999
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of James AltonDavis Sex Male
Date of Birth January 28, 1906 Place of Birth SummervilleCounty of Queens
Name of Father Lemeul M. Davis MAIDEN NAME of Mother Minnie B. Huskins
Residence of Father when child was born Summerville Present address of Father Summerville
Occupation of Father at Birth of child Farmer Place of birth of Father Summerville
Race English Name and present address of Physician in attendance at birth Dr. A.W. Smith
Signature of Applicant James Alton Davis Address of Applicant Summerville Date 24 November 1925
Relationship of Applicant to child self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of James AltonDavis
Born at Summerville in the County of Queens
That James AltonDavis Whose Birth is sought to be registered was
born at Summerville Queens County on January 28, 1906
My knowledge of the fact and date of such Birth is based on the following Circumstances:
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402463
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