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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900461

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Allistair WilliamStephens Sex Male

Date of Birth July 10, 1920 Place of Birth MinasvilleCounty of Hants

Name of Father Colin William Stephens MAIDEN NAME of Mother Mabel Rebecca Tomlinson

Residence of Father when child was born Tenecape Present address of Father Windsor

Occupation of Father at Birth of child Lumberman and farming Place of birth of Father Tenecape

Race White Name and present address of Physician in attendance at birth Dr. M.A. O'Brian (deceased)

Signature of Applicant Mabel R. Stephens Address of Applicant Windsor Date April 3, 1945

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Allistair WilliamStephens

Born at Minasville in the County of Hants

That Allistair WilliamStephens Whose Birth is sought to be registered was

born at Minasville Hants County on July 10, 1920

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

I am the mother of the said Allistair William Stephens

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