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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000724

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kenneth ArthurNurse Sex Male

Date of Birth November 12, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Prince Oliver Nurse MAIDEN NAME of Mother Lillian Editha Adams

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 Deceased

Occupation of Father at Birth of child Employed in Coke Ovens Place of birth of Father Black Rock, Barbados, West Indies

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kenneth Arthur Nurse Address of Applicant 31 Angora Street, Scarborough, Ontario, M1G 1L6 Date 2 November 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kenneth ArthurNurse

Born at Sydney in the County of Cape Breton

That Kenneth ArthurNurse Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 12, 1924

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

Class "A" (c) A certificate of Baptism

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