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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000305

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sidney HubertMoulton Sex Male

Date of Birth March 26, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father william Hubert Moulton MAIDEN NAME of Mother Mary Catherine Greene

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

Residence of Father when child was born North Sydney, Cape Breton Co. Present address of Father deceased

Occupation of Father at Birth of child Wholesaler Place of birth of Father Barbonear, Newfoundland & Labrador

Race White Name and present address of Physician in attendance at birth Dr. MacLean

Signature of Applicant Mary Catherine Moulton Address of Applicant 30 Slayter Street, Dartmouth Date 4 March 1959

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sidney HubertMoulton

Born at North Sydney in the County of Cape Breton

That Sidney HubertMoulton Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on March 26, 1920

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

Certificate of Baptism attached. National Registration record.

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