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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000547

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Paul AnthonyTaylor Sex Male

Date of Birth September 13, 1922 Place of Birth RocklandCounty of Kings

Name of Father Noble Taylor MAIDEN NAME of Mother Blanche Taylor

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

Residence of Father when child was born Rockland, Kings Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Rockland, Kings

Race Name and present address of Physician in attendance at birth

Signature of Applicant Paul Taylor Address of Applicant RR #1, South Berwick, Kings Date 4 August 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Paul AnthonyTaylor

Born at Rockland in the County of Kings

That Paul AnthonyTaylor Whose Birth is sought to be registered was

born at Rockland Kings County on September 13, 1922

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

Family bible record (see certificate attached) also record taken from school register (see certificate attached)

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