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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

40500531

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James AnthonyMyra Sex Male

Date of Birth December 24, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Thomas Myra MAIDEN NAME of Mother Bessie Condon

Residence of Father when child was born Halifax Present address of Father Wakefield, Massachusetts, USA

Occupation of Father at Birth of child Taxi Driver Place of birth of Father Halifax

Race White Name and present address of Physician in attendance at birth Dr. Mader

Signature of Applicant Kathleen Myra Address of Applicant Wakefield, Massachusetts, USA Date April 4, 1929

Relationship of Applicant to child Elder Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James AnthonyMyra

Born at Halifax in the County of Halifax

That James AnthonyMyra Whose Birth is sought to be registered was

born at Halifax Halifax County on December 24, 1922

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

I am his sister and know the date and place of his birth

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