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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900549

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arnold ChanceyBorden Sex Male

Date of Birth April 15, 1922 Place of Birth New GlasgowCounty of Pictou

Name of Father Charles H. Borden MAIDEN NAME of Mother Mary Elizabeth  Laurence

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

Residence of Father when child was born 213 Vale Road, New Glasgow, Pictou Co., NS Present address of Father New Glasgow, Pictou Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father New Glasgow, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Susan Borden Address of Applicant 213 Vale Road, New Glasgow, Pictou Co., NS Date 5 October 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arnold ChanceyBorden

Born at New Glasgow in the County of Pictou

That Arnold ChanceyBorden Whose Birth is sought to be registered was

born at New Glasgow Pictou County on April 15, 1922

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

I am sure that Arnold Chancey Borden was born on April 15, 1922

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