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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91500460

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 6, 1923 Place of Birth Port HawkesburyCounty of Inverness

Name of Father William Brown Davis MAIDEN NAME of Mother Annie May MacDonald

Residence of Father when child was born Port Hawkesbury, Inverness Co., NS Present address of Father Port Hawkesbury, Inverness Co., NS

Occupation of Father at Birth of child Railway Yard Foreman Place of birth of Father Port Hawkesbury, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant William Brown Davis Address of Applicant Port Hawkesbury, Inverness Co., NS Date 31 October 1941

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Port Hawkesbury in the County of Inverness

That William DonaldDavis Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on April 6, 1923

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

I am his father and remember the date of his birth

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