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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500464

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon JohnsonKinley Sex Male

Date of Birth June 29, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Gordon Stanley Kinley MAIDEN NAME of Mother Doa Eaton Johnson

Residence of Father when child was born 122 Windsor St. Halifax Present address of Father 92 Oxford St. Halifax

Occupation of Father at Birth of child Druggest Place of birth of Father Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant G.S. Kinley Address of Applicant 92 Oxford St. Halifax Date 5 September 1939

Relationship of Applicant to child FAther

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon JohnsonKinley

Born at Halifax in the County of Halifax

That Gordon JohnsonKinley Whose Birth is sought to be registered was

born at Halifax Halifax County on June 29, 1921

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

Father Certificate Dr. P.A. MacDonald attending physician attached

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