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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000135

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rodger FrancisFreeman Sex Male

Date of Birth April 4, 1920 Place of Birth KemptCounty of Queens

Name of Father Elmer Freeman MAIDEN NAME of Mother Edith  Selig

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

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

Occupation of Father at Birth of child Merchant Place of birth of Father New Grafton

Race Scottish Name and present address of Physician in attendance at birth Dr. A.C. MacLeod, Caledonia

Signature of Applicant Edith Freeman Address of Applicant Kempt, Queens Co. Date June 20, 1950

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rodger FrancisFreeman

Born at Kempt in the County of Queens

That Rodger FrancisFreeman Whose Birth is sought to be registered was

born at Kempt Queens County on April 4, 1920

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

I am his Mother. This is to certify that Rodger Francis Freeman is my son and I was residing in the home which he was born Edith Freeman (Certificate from Doctor's records attached)

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