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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000570

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jordan ReubenEisnor Sex Male

Date of Birth April 25, 1923 Place of Birth LaplandCounty of Lunenburg

Name of Father Ingram Eisnor MAIDEN NAME of Mother Florence 

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

Residence of Father when child was born Lapland Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jordan R. Eisnor Address of Applicant Lapland, Lunenburg Co., NS Date 20 May 1976

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jordan ReubenEisnor

Born at Lapland in the County of Lunenburg

That Jordan ReubenEisnor Whose Birth is sought to be registered was

born at Lapland Lunenburg County on April 25, 1923

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

Enclosed is the "Transcript of Baptism" which clarifies the "Date of Birth". I very clearly remember when Jordan R. Eisnor was born. In fact I can remember when his parents were married.

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