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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000684

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernard ElliottBorden Sex Male

Date of Birth July 16, 1922 Place of Birth East TracadieCounty of Antigonish

Name of Father Stanley Edward Borden MAIDEN NAME of Mother Charlotte Marie Williams

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

Residence of Father when child was born East Tracadie, Antigonish Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father East Tracadie, Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hazel DeYoung Address of Applicant RR #1, Pomquet, Antigonish Date 19 April 1978

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernard ElliottBorden

Born at East Tracadie in the County of Antigonish

That Bernard ElliottBorden Whose Birth is sought to be registered was

born at East Tracadie Antigonish County on July 16, 1922

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

Bernard E. Borden was a pupil of mine at East Tracadie School and my records show that Bernard was born on the above date.

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