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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100022

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leander VincentEllis Sex Male

Date of Birth November 24, 1922 Place of Birth Terence BayCounty of Halifax

Name of Father John Ephriam Ellis MAIDEN NAME of Mother Alice Maude Martin

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

Residence of Father when child was born Terence Bay, Halifax Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leander V. Ellis Address of Applicant 4 Kidd Avenue, Grimsby, Ontario Date 8 September 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leander VincentEllis

Born at Terence Bay in the County of Halifax

That Leander VincentEllis Whose Birth is sought to be registered was

born at Terence Bay Halifax County on November 24, 1922

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

Statement of older brother. Census reports of 1931 & 1941

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