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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000332

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ralph MaugerMcKichan Sex Male

Date of Birth September 20, 1920 Place of Birth ClevelandCounty of Inverness

Name of Father John Howard McKichan MAIDEN NAME of Mother Christine Mauger

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

Residence of Father when child was born Cleveland, Inverness Co. Present address of Father Halifax

Occupation of Father at Birth of child Farmer Place of birth of Father Cleveland, Inverness Co.

Race Canadian Name and present address of Physician in attendance at birth Dr. M. H. MacKay, West Bay, Inverness Co.

Signature of Applicant J. McKichan Address of Applicant 41 South Park Street, Halifax Date 27 September 1960

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ralph MaugerMcKichan

Born at Cleveland in the County of Inverness

That Ralph MaugerMcKichan Whose Birth is sought to be registered was

born at Cleveland Inverness County on September 20, 1920

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

Record enclosed. Certificate of Baptism from record of United Church of West Bay, Inverness County.

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