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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000946

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 11, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Lewis Davison MAIDEN NAME of Mother Dorothy Cook

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

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

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 James Davison Address of Applicant 723 Lipton Street, Winnipeg, Manitoba Date 21 June 1983

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That James AugustusDavison Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 11, 1922

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

Baptism paper

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