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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000492

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George AlexanderBurns Sex Male

Date of Birth July 30, 1920 Place of Birth BalmoralCounty of Richmond

Name of Father James Burns MAIDEN NAME of Mother Walline Lourie

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Balmoral

Race Scottish Name and present address of Physician in attendance at birth deceased

Signature of Applicant George A. Burns Address of Applicant Dartmouth Date June 26, 1969

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George AlexanderBurns

Born at Balmoral in the County of Richmond

That George AlexanderBurns Whose Birth is sought to be registered was

born at Balmoral Richmond County on July 30, 1920

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

Baptismal Certificate Marriage extract

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