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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000485

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William RolandMerchant Sex Male

Date of Birth July 5, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Fredrick William Merchant MAIDEN NAME of Mother Mary Agnes MacLean

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

Residence of Father when child was born 18 Beacon Street, Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Retail Merchant Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Will R. Merchant Address of Applicant 875 Abrevois, Boucherville, Quebec Date 17 July 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William RolandMerchant

Born at Sydney in the County of Cape Breton

That William RolandMerchant Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 5, 1922

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

I was living at home, 18 Beacon Street, Sydney. I am the oldest of a family of nine children of which William Roland merchant is the youngest.

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