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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000661

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 16, 1922 Place of Birth TruroCounty of Colchester

Name of Father Peter James Paul MAIDEN NAME of Mother Mary Anne Bernard

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

Residence of Father when child was born Truro, Colchester Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Old Town, Maine, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant James W. Paul Address of Applicant RR #2, Trenton, Pictou Landing, Pictou Date 2 November 1977

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Truro in the County of Colchester

That James WilliamPaul Whose Birth is sought to be registered was

born at Truro Colchester County on August 16, 1922

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

Certificate of Baptism

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