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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000844

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James AllisonJohnson Sex Male

Date of Birth April 29, 1924 Place of Birth HodgsonCounty of Pictou

Name of Father Alfred Johnson MAIDEN NAME of Mother Lillian Falconer

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

Residence of Father when child was born Hodgson Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Willis Johnson Address of Applicant Westville Date Brother

Relationship of Applicant to child June 28, 1986

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James AllisonJohnson

Born at Hodgson in the County of Pictou

That James AllisonJohnson Whose Birth is sought to be registered was

born at Hodgson Pictou County on April 29, 1924

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

1. I am an older brother of James Allison Johnson 2. I am aware of his place and date of birth 3. He always marked his birthday as being April 29, 1924. JWJ

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