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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000227

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Guy ezraJohnson Sex Male

Date of Birth May 23, 1923 Place of Birth DanesvilleCounty of Queens

Name of Father Charles Edgar Johnson MAIDEN NAME of Mother Susie Delline Weagle

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

Residence of Father when child was born Danesville Queens Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Conquerall Mills, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Susie D. Johnson Address of Applicant Danesville, Queens Co., NS Date 13 September 1957

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Guy ezraJohnson

Born at Danesville in the County of Queens

That Guy ezraJohnson Whose Birth is sought to be registered was

born at Danesville Queens County on May 23, 1923

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

I remember the date because I am his mother, also made a record of it in the family bible at that time. National registration report. School record.

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