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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000267

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas RaymondBonang Sex Male

Date of Birth December 31, 1923 Place of Birth WaverleyCounty of Halifax

Name of Father Joseph Bonang MAIDEN NAME of Mother Blanch Stacey

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

Residence of Father when child was born Waverley Halifax Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. R. Bonang Address of Applicant 3 Fergusons Road, Dartmouth, NS Date 10 July 1961

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas RaymondBonang

Born at Waverley in the County of Halifax

That Thomas RaymondBonang Whose Birth is sought to be registered was

born at Waverley Halifax County on December 31, 1923

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

Certificate of Baptism

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