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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000751

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Byron AldenGardner Sex Male

Date of Birth March 6, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father Ernest George Gardner MAIDEN NAME of Mother Jessie Clyde Dunn

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

Residence of Father when child was born Dartmouth Ns Present address of Father Middlefield, Queens Co., NS

Occupation of Father at Birth of child Tractor Operator Place of birth of Father Milton, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ernest George Gardner Address of Applicant Middlefield, Queens Co., NS Date 22 October 1979

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Byron AldenGardner

Born at Dartmouth in the County of Halifax

That Byron AldenGardner Whose Birth is sought to be registered was

born at Dartmouth Halifax County on March 6, 1923

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

I am his father

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