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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100221

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of David EmlynJones Sex Male

Date of Birth February 13, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Daniel Phillip Jones MAIDEN NAME of Mother Margaret Elizabeth Davis

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

Residence of Father when child was born Victoria Road, Sydney Present address of Father

Occupation of Father at Birth of child Place of birth of Father Dawlis, Wales, U.K.

Race Name and present address of Physician in attendance at birth

Signature of Applicant D.E. Jones Address of Applicant Site 12, Box 1 RR3 Sydney Date August, 1992

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of David EmlynJones

Born at Sydney in the County of Cape Breton

That David EmlynJones Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 13, 1921

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

Certificate from Trinity United Church dated 25th January 1960 Certificate of Baptism from St. James Presbyterian Church date January 17th, 1924 Certificate of Service in the Royal Canadian Navy and Marriage Certificate dated June 9, 1947

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