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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000329

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James NicholasPerry Sex Male

Date of Birth November 21, 1923 Place of Birth New GlasgowCounty of Pictou

Name of Father James Snow Perry MAIDEN NAME of Mother Jessie Betts

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

Residence of Father when child was born Marsh Street New Glasgow Pictou Co. Ns Present address of Father 504 MacDonald Street, New Glasgow, Pictou Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father Harbour Grace, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie Perry Address of Applicant New Glasgow, Pictou Co., NS Date 15 September 1967

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James NicholasPerry

Born at New Glasgow in the County of Pictou

That James NicholasPerry Whose Birth is sought to be registered was

born at New Glasgow Pictou County on November 21, 1923

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

He is my son and I have recorded the birth dates of all my children in our family bible.

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