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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000941

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Basil WilliamRynold Sex Male

Date of Birth September 19, 1924 Place of Birth Phillips HarbourCounty of Guysborough

Name of Father Baker Arthur Rhynold MAIDEN NAME of Mother Penny Lexis

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

Residence of Father when child was born Phillips Harbour Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Phillips Harbour

Race Name and present address of Physician in attendance at birth

Signature of Applicant B.W. Rhynold Address of Applicant Box 136, Vanada, B.C. Date May 2, 1989

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Basil WilliamRynold

Born at Phillips Harbour in the County of Guysborough

That Basil WilliamRynold Whose Birth is sought to be registered was

born at Phillips Harbour Guysborough County on September 19, 1924

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

Discharge papers from the armed forces attached indicate that I was discharged at age 22. Census and National Registrations

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