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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000873

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas EdwardAnthony Sex Male

Date of Birth August 5, 1924 Place of Birth MiltonCounty of Queens

Name of Father Edward Thomas Anthony MAIDEN NAME of Mother Margaret Wamboldt

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

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

Occupation of Father at Birth of child labourer Place of birth of Father Milton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Allen C. Fownes Address of Applicant Liverpool Date July 15, 1987

Relationship of Applicant to child Solicitor for the Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas EdwardAnthony

Born at Milton in the County of Queens

That Thomas EdwardAnthony Whose Birth is sought to be registered was

born at Milton Queens County on August 5, 1924

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

See Order of the County Court, per Judge Felix Cecchione, C.J.C.C. dated July 14, 1987 in which the birthdate of Thomas Edward Anthony was declared to be August 5, A.D. 1924.

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