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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000340

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earl EdwardSanderson Sex Male

Date of Birth January 15, 1921 Place of Birth Scotch VillageCounty of Hants

Name of Father Howard William Sanderson MAIDEN NAME of Mother Amelia Stella Spears

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

Residence of Father when child was born Scotch Village Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Scotch Village

Race White Name and present address of Physician in attendance at birth Dr. T. Read

Signature of Applicant Earl Edward Sanderson Address of Applicant Kingston Date 22 January 1965

Relationship of Applicant to child completed by applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earl EdwardSanderson

Born at Scotch Village in the County of Hants

That Earl EdwardSanderson Whose Birth is sought to be registered was

born at Scotch Village Hants County on January 15, 1921

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

1 An entrance in the Scotch Village School Register for year 1933 2 An entrance in the Scotch Village School Register for Yar 1935 3 A Report of a search of Census Records of Year 1931

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