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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602647

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DorothyBuck Sex Female

Date of Birth February 25, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father William David Buck MAIDEN NAME of Mother Isabel Grant

Residence of Father when child was born Plymouth, Pictou Co. Present address of Father Plymouth, Pictou Co.

Occupation of Father at Birth of child Dairy Farmer Place of birth of Father Amherst, Magdalen Islands, Quebec

Race Canadian Name and present address of Physician in attendance at birth Dr. J. C. Ballem M.D., New Glasgow

Signature of Applicant William David Buck Address of Applicant New Glasgow, Pictou Co. Date 19 December 1942

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That DorothyBuck Whose Birth is sought to be registered was

born at New Glasgow Pictou County on February 25, 1920

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

that the birth of Dorothy Buck is on the same date as that of an older child (son) born February 25th, seven years previous

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