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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800045

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivian IrenaBoone Sex Female

Date of Birth February 8, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Albert E. Boone MAIDEN NAME of Mother Ida Belle Ludlow

Residence of Father when child was born New Aberdeen Present address of Father Glace Bay

Occupation of Father at Birth of child Miner Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Albert E. Boone Address of Applicant 8 Reservoir Ave. Glace Bay Date June 10, 1944

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivian IrenaBoone

Born at Glace Bay in the County of Cape Breton

That Vivian IrenaBoone Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 8, 1921

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

I am the father of Vivian Irene Boone and remember distinctly the date of her birth.

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