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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000021

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Earl GarfieldBanks Sex Male

Date of Birth February 28, 1920 Place of Birth East MargaretsvilleCounty of Annapolis

Name of Father George J. Banks MAIDEN NAME of Mother Margaret Ann Cassidy

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

Residence of Father when child was born East Margaretsville Present address of Father East Margaretsville

Occupation of Father at Birth of child Farmer Place of birth of Father East Margaretsville

Race Canadian Name and present address of Physician in attendance at birth M.E. Orvine M.D., Kingston

Signature of Applicant Margaret Ann Banks Address of Applicant East Margaretsville Date August 3, 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Earl GarfieldBanks

Born at East Margaretsville in the County of Annapolis

That Earl GarfieldBanks Whose Birth is sought to be registered was

born at East Margaretsville Annapolis County on February 28, 1920

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

That I am the Mother of Earl Garfield Banks

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