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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703364

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of LouisWhite Sex Male

Date of Birth September 26, 1920 Place of Birth Park Street, WestvilleCounty of Pictou

Name of Father Francis Wilson White MAIDEN NAME of Mother Fanny Hale

Residence of Father when child was born Park Street, Westville, Pictou Co. Present address of Father Park Street, Westville, Pictou Co.

Occupation of Father at Birth of child Mine Overman Place of birth of Father England

Race White Name and present address of Physician in attendance at birth L. C. Bruce M.D.

Signature of Applicant Francis Wilson White Address of Applicant Park Street, Westville, Pictou Co. Date 11 September 1942

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Park Street, Westville in the County of Pictou

That LouisWhite Whose Birth is sought to be registered was

born at Park Street, Westville Pictou County on September 26, 1920

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

That I am his father and I remember distinctly the date of the birth of Louis White as I had to get the doctor and midwife, Mrs. Samuel Facey and I was at home all through the time of birth saw the baby a short time after birth

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