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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000233

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph Henry CliffordBoone Sex Male

Date of Birth March 10, 1923 Place of Birth New Aberdeen, Glace BayCounty of Cape Breton

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

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

Residence of Father when child was born New Aberdeen Glace Bay Cape Breton Co. Ns Present address of Father 8 Reservoir Avenue, Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Tilt Cove, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Albert E. Boone Address of Applicant 8 Reservoir Avenue, Glace Bay, Cape Breton Co., NS Date 21 May 1958

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph Henry CliffordBoone

Born at New Aberdeen, Glace Bay in the County of Cape Breton

That Joseph Henry CliffordBoone Whose Birth is sought to be registered was

born at New Aberdeen, Glace Bay Cape Breton County on March 10, 1923

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

I am the father of Joseph Henry Clifford Boone. School and National Registration records.

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