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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000547

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alexander RoryRoss Sex Male

Date of Birth December 23, 1920 Place of Birth InvernessCounty of Inverness

Name of Father William J. Ross MAIDEN NAME of Mother Bessie  MacDonald

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

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

Occupation of Father at Birth of child Retail Merchant Place of birth of Father Antigonish

Race Scottish Name and present address of Physician in attendance at birth Dr. MacMaster, deceased

Signature of Applicant Alexander R. Ross Address of Applicant Antigonish Date May 19, 1971

Relationship of Applicant to child Application made by self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alexander RoryRoss

Born at Inverness in the County of Inverness

That Alexander RoryRoss Whose Birth is sought to be registered was

born at Inverness Inverness County on December 23, 1920

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

Family Acquaintance

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