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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000599

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lorne ForsideBorden Sex Male

Date of Birth May 7, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Jame E. Borden MAIDEN NAME of Mother Sadie Jewell

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

Residence of Father when child was born Water St. New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Peter Lorne F. Borden Address of Applicant New Glasgow Date September 25, 1975

Relationship of Applicant to child None Family Minister, Second Baptist Church

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lorne ForsideBorden

Born at New Glasgow in the County of Pictou

That Lorne ForsideBorden Whose Birth is sought to be registered was

born at New Glasgow Pictou County on May 7, 1921

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

Census Record, Military Discharge Papers, Town of New Glasgow School Record

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