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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000600

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William LewisDeyoung Sex Male

Date of Birth April 28, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Joseph Deyoung MAIDEN NAME of Mother Mary Benoit

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Havre Boucher

Race Name and present address of Physician in attendance at birth

Signature of Applicant L. Deyoung Address of Applicant 68 Haviland Dr. West Hill, Ontario Date October 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William LewisDeyoung

Born at New Glasgow in the County of Pictou

That William LewisDeyoung Whose Birth is sought to be registered was

born at New Glasgow Pictou County on April 28, 1921

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

Baptismal Certificate issued April 8, 1948 by the Curato of St. John the Baptist Parish, New Glasgow. It showing birth recorded as April 28, 1921 in Volume II, Page 85 of Baptismal Records of the Parish

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