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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700398

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 16, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father James William Anderson MAIDEN NAME of Mother Josephine Dorothy Taylor

Residence of Father when child was born Dartmouth, NS Present address of Father St. Catharines, Ontario

Occupation of Father at Birth of child Hoist Operator Place of birth of Father Chezzetcook, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Josephine Anderson Address of Applicant 13 Chelsea Street, St. Catharines, Ontario Date 8 February 1943

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Dartmouth in the County of Halifax

That James PerryAnderson Whose Birth is sought to be registered was

born at Dartmouth Halifax County on March 16, 1923

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

That I am his mother.

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