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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000855

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 26, 1920 Place of Birth Ingonish BeachCounty of Victoria

Name of Father John David  Ford MAIDEN NAME of Mother Hattie Mourton

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

Residence of Father when child was born Ingonish Beach Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Ingonish Beach

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth Betty Fenton Address of Applicant Kelowna Date August 15, 1977

Relationship of Applicant to child sister

AFFIDAVIT

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

Born at Ingonish Beach in the County of Victoria

That George MoultonFord Whose Birth is sought to be registered was

born at Ingonish Beach Victoria County on July 26, 1920

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

That I am two years older than my brother, George Moulton Ford, and am somewhat familiar with the circumstances

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