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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000444

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William FrederickRoss Sex Male

Date of Birth April 15, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father James Ross MAIDEN NAME of Mother Annie Brown

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

Residence of Father when child was born Sydney Present address of Father deceased

Occupation of Father at Birth of child City Employee Place of birth of Father Halifax

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

Signature of Applicant Cecil Robert Ross Address of Applicant Sydney Date April 11, 1967

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William FrederickRoss

Born at Sydney in the County of Cape Breton

That William FrederickRoss Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 15, 1920

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

From information contained in a Certificate of Baptism taken from the Church records of Christ Church, Sydney

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