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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000579

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 9, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Dan Joseph Young MAIDEN NAME of Mother Ellen Corkum

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alphonsus Young Address of Applicant 2531 Lakeshore Blvd., Apt #311, Toronto, Ontario Date 12 May 1976

Relationship of Applicant to child The child

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That William HarryJohnston Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on July 9, 1922

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

Exhibits marked A, B, C and D.

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