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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900088

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John ElmerCoventry Sex Male

Date of Birth March 20, 1921 Place of Birth East Branch River JohnCounty of Pictou

Name of Father Kenneth Coventry MAIDEN NAME of Mother Anna Bell Innis

Residence of Father when child was born East Branch River John, Pictou Co., NS Present address of Father East Branch River John, Pictou Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Via Meadowville, RR #1, East Branch River John, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anna Bell coventry Address of Applicant Via Meadowville, RR #1, East Branch River John, Pictou Co., NS Date 25 April 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John ElmerCoventry

Born at East Branch River John in the County of Pictou

That John ElmerCoventry Whose Birth is sought to be registered was

born at East Branch River John Pictou County on March 20, 1921

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

I am his mother and have the records of all my family's births in our family bible.

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