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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000169

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Howard RoyMattatall Sex Male

Date of Birth January 28, 1920 Place of Birth BarrachoisCounty of Colchester

Name of Father Freeman Mattatall MAIDEN NAME of Mother Margaret Ellen Buckler

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Barrachois

Race Swiss Name and present address of Physician in attendance at birth Dan Murray M.D. Tatamagouche

Signature of Applicant H.L. Cassidy Address of Applicant Tatamagouche Date November 30, 1951

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Howard RoyMattatall

Born at Barrachois in the County of Colchester

That Howard RoyMattatall Whose Birth is sought to be registered was

born at Barrachois Colchester County on January 28, 1920

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

I am the mother of Howard Roy Mattatall above named (Entry in Mattatall Family Bible Certificate of H.L. Cassidy Commissioner Attached)

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