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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000678

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of SylvesterMoore Sex Male

Date of Birth January 20, 1924 Place of Birth TruroCounty of Colchester

Name of Father Robert H. Moore MAIDEN NAME of Mother Amy Elizabeth Stewart

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

Residence of Father when child was born Truro, Colchester Co., NS Present address of Father

Occupation of Father at Birth of child Butcher Place of birth of Father Truro, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sylvester Moore Address of Applicant 42 Bayview Street, Truro, Colchester Co., NS Date 15 July 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of SylvesterMoore

Born at Truro in the County of Colchester

That SylvesterMoore Whose Birth is sought to be registered was

born at Truro Colchester County on January 20, 1924

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

Census report School record

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