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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100036

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anthony PaulGwynn Sex Male

Date of Birth November 22, 1923 Place of Birth White PointCounty of Victoria

Name of Father   MAIDEN NAME of Mother Mary Ellen MacKinnon

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anthony Paul Gwynn Address of Applicant Box 133, Baddeck, Victoria Co., NS Date 23 June 1988

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anthony PaulGwynn

Born at White Point in the County of Victoria

That Anthony PaulGwynn Whose Birth is sought to be registered was

born at White Point Victoria County on November 22, 1923

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

1. I have seen the baptism certificate of Anthony Paul Gwynn 2. Baptismal certificate

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