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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000029

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Norman HowardAtkinson Sex Male

Date of Birth August 18, 1920 Place of Birth PugwashCounty of Cumberland

Name of Father Harold Atkinson MAIDEN NAME of Mother Blanche Laird

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

Residence of Father when child was born Pugwash Present address of Father Pugwash

Occupation of Father at Birth of child Farmer Place of birth of Father Shinimicas Bridge

Race English Name and present address of Physician in attendance at birth Dr. V.W. Goodwin

Signature of Applicant Harold Atkinson Address of Applicant Pugwash Date September 11, 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Norman HowardAtkinson

Born at Pugwash in the County of Cumberland

That Norman HowardAtkinson Whose Birth is sought to be registered was

born at Pugwash Cumberland County on August 18, 1920

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

Norman Howard Atkinson is my son. I was at home when he was born

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