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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000173

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 7, 1923 Place of Birth Pictou County of Pictou

Name of Father Sidney T. Silver MAIDEN NAME of Mother Minnie Crawley

Residence of Father when child was born Pictou, NS Present address of Father Halifax, NS

Occupation of Father at Birth of child Marine Engineer Place of birth of Father Goldboro, Guysborough Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. M. Silver Address of Applicant 8 Bloomfield Street, Halifax, NS Date 23 June 1941

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Pictou in the County of Pictou

That William BurtonSilver Whose Birth is sought to be registered was

born at Pictou Pictou County on September 7, 1923

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

I am the mother of William Burton Silver

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