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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900605

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence VirginiaClayden Sex Female

Date of Birth May 6, 1922 Place of Birth New GlasgowCounty of Pictou

Name of Father Frederick Robert Clayden MAIDEN NAME of Mother Myrtle Pauline Miles

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

Residence of Father when child was born New Glasgow, Pictou Co., NS Present address of Father Moncton, New Brunswick

Occupation of Father at Birth of child Druggist Place of birth of Father Lake George, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant F. R. Clayden Address of Applicant 58 John Street, Moncton, New Brunswick Date 17 July 1945

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence VirginiaClayden

Born at New Glasgow in the County of Pictou

That Florence VirginiaClayden Whose Birth is sought to be registered was

born at New Glasgow Pictou County on May 6, 1922

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

Florence Virginia Claydon born at 289 Trenton Road, New Glasgow, NS. Attending Physician Doctor C. W. Stramberg (deceased). I, Fred R. Clayden am the father of Florence Virginia Clayden, and was present in the home on the day that she was born - May 6th, 1922 - F. R. Claydon

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