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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000577

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AndersonBoyd Sex Male

Date of Birth April 30, 1921 Place of Birth Upper FalmouthCounty of Hants

Name of Father John  Boyd MAIDEN NAME of Mother Florence Sanford

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

Residence of Father when child was born Upper Falmouth Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father Upper Falmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Anderson Boyd Address of Applicant RR3 Windsor Date January 3, 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AndersonBoyd

Born at Upper Falmouth in the County of Hants

That John AndersonBoyd Whose Birth is sought to be registered was

born at Upper Falmouth Hants County on April 30, 1921

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

Register of Avondale School Section 13, Commissioners District of West Hants, of Hants for the school year ending July 1936. Merchant Marine Canada Identity Certificate. Canadian Department of Transport Certificates of Discharge # 86522 and # 143897

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