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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000785

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ivan GuyLevy Sex Male

Date of Birth June 4, 1921 Place of Birth Little Tancook IslandCounty of Lunenburg

Name of Father Sidney Franklyn Levy MAIDEN NAME of Mother Violet Belle Whynacht

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

Residence of Father when child was born Little Tancook Island Present address of Father Lunenburg

Occupation of Father at Birth of child Fisherman Place of birth of Father Little Tancook Island

Race Caucasian Name and present address of Physician in attendance at birth Midwife

Signature of Applicant Patrick A. Burke Address of Applicant Lunenburg Date January 31, 1979

Relationship of Applicant to child Solicitor

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ivan GuyLevy

Born at Little Tancook Island in the County of Lunenburg

That Ivan GuyLevy Whose Birth is sought to be registered was

born at Little Tancook Island Lunenburg County on June 4, 1921

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

I have checked on the original records of - Marriages - Baptisms - Funerals of the Blue Rocks United Church giving the date of marriage as December 25th, 1941 and the age of the groom as 20 years. I have seen the original Baptism Certificate of the said Ivan Guy Levy giving the date of birth as June 4th., 1921.

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