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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000796

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John RobertStevens Sex Male

Date of Birth November 8, 1920 Place of Birth PictouCounty of Pictou

Name of Father William Henry Stevens MAIDEN NAME of Mother Margaret Gray

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

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

Occupation of Father at Birth of child Engineer, Prince Edward Island Car Ferry Place of birth of Father Georgetown, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Robert Stevens Address of Applicant Pictou Landing, Pictou Co. Date 31 May 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John RobertStevens

Born at Pictou in the County of Pictou

That John RobertStevens Whose Birth is sought to be registered was

born at Pictou Pictou County on November 8, 1920

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

I knew my half-brother started school 8 years behind me. His birthdate is listed in the family bible and his birthday was always celebrated on November 8th.

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