Male Birth Registration: Year: 1920 number: 99000874
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000874
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of George HerbertBackman Sex Male
Date of Birth October 1, 1920 Place of Birth Chester BasinCounty of Lunenburg
Name of Father Rolfie Herbert Backman MAIDEN NAME of Mother Mary Elizabeth Kauback
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Chester Basin Present address of Father deceased
Occupation of Father at Birth of child Cooper Place of birth of Father Chester Basin
Race Name and present address of Physician in attendance at birth
Signature of Applicant George Herbert Backman Address of Applicant Chester Basin Date November 12, 1977
Relationship of Applicant to child
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of George HerbertBackman
Born at Chester Basin in the County of Lunenburg
That George HerbertBackman Whose Birth is sought to be registered was
born at Chester Basin Lunenburg County on October 1, 1920
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptism Certificate dated March 6, 1921 in the Parish of Conquerall by Kennedy B. Wainwright, priest in charge at that time (1941). Parents marriage 18-02-013168 shows spelling of surname Backman
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=398556
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