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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000877

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur JacobHynick Sex Male

Date of Birth December 18, 1921 Place of Birth Blue RocksCounty of Lunenburg

Name of Father Arthur Calvin Hynick MAIDEN NAME of Mother Lottie Elizabeth Nowe

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

Residence of Father when child was born Blue Rocks Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Blue Rocks

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen C. Hynick Address of Applicant RR2 Lunenburg Date March 24, 1980

Relationship of Applicant to child wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur JacobHynick

Born at Blue Rocks in the County of Lunenburg

That Arthur JacobHynick Whose Birth is sought to be registered was

born at Blue Rocks Lunenburg County on December 18, 1921

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

1) Certificate of Baptism 2) The family have always spelled their name HYNICK. 3) The family were life-long residents of Blue Rocks and all members of the family were to understand that they were born at home.

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