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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703976

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 1, 1920 Place of Birth SylvesterCounty of Pictou

Name of Father Thomas Wallace  Scott MAIDEN NAME of Mother Etta Elizabeth Gunn

Residence of Father when child was born Pictou Present address of Father Halifax

Occupation of Father at Birth of child Master Mariner Place of birth of Father Charlottetown, Prince Edward Island

Race English Name and present address of Physician in attendance at birth Duncan Murry (deceased)

Signature of Applicant Thomas Wallace Scott Address of Applicant 38 Livingstone Street Date August 13, 1943

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Sylvester in the County of Pictou

That James FrancisScott Whose Birth is sought to be registered was

born at Sylvester Pictou County on February 1, 1920

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

I was present at the birth

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