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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

65200348

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William JohnKing Sex Male

Date of Birth July 2, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Adam King MAIDEN NAME of Mother Elizabeth Gregory

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Electrical Helper Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Adam King Address of Applicant Sydney, Cape Breton Co., NS Date 19 May 1933

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William JohnKing

Born at Sydney in the County of Cape Breton

That William JohnKing Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 2, 1924

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

I am his father Doctors certificate attached

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