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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000200

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Samuel TheophilusBest Sex Male

Date of Birth October 23, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Best MAIDEN NAME of Mother Maude Bourne

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

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 Brick Layer Place of birth of Father Christ Church Parish, Barbados, British West Indies

Race Name and present address of Physician in attendance at birth

Signature of Applicant Maude Best Address of Applicant Sargeant's Village, Christ Church, Barbados, British West Indies Date 25 June 1957

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Samuel TheophilusBest

Born at Sydney in the County of Cape Breton

That Samuel TheophilusBest Whose Birth is sought to be registered was

born at Sydney Cape Breton County on October 23, 1924

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

I am his mother Baptism certificate

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