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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100006

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earl ArthurBoran Sex Male

Date of Birth May 12, 1921 Place of Birth SalemCounty of Cumberland

Name of Father James William Boran MAIDEN NAME of Mother Swan Wilson

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

Residence of Father when child was born Salem Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Springhill

Race Name and present address of Physician in attendance at birth

Signature of Applicant Earl Arthur Boran Address of Applicant 2188 Thierry St. La Salle, Quebec Date January 27, 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earl ArthurBoran

Born at Salem in the County of Cumberland

That Earl ArthurBoran Whose Birth is sought to be registered was

born at Salem Cumberland County on May 12, 1921

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

My knowledge of the date of my birth is based on information received from my parents when living

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