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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000528

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 25, 1920 Place of Birth Tufts CoveCounty of Halifax

Name of Father Clarence Edward Westlake MAIDEN NAME of Mother Florence Craig

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

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

Occupation of Father at Birth of child Fireman Place of birth of Father Halifax

Race English Name and present address of Physician in attendance at birth No doctor in attendance

Signature of Applicant Herbert Westlake Address of Applicant Dartmouth Date October 28, 1970

Relationship of Applicant to child brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George Frederick AllisonWestlake

Born at Tufts Cove in the County of Halifax

That George Frederick AllisonWestlake Whose Birth is sought to be registered was

born at Tufts Cove Halifax County on January 25, 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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