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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000887

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 26, 1920 Place of Birth Balls CreekCounty of Cape Breton

Name of Father Nelson Alexander Beaton MAIDEN NAME of Mother Mary MacKay

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

Residence of Father when child was born Balls Creek Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Balls Creek

Race Name and present address of Physician in attendance at birth

Signature of Applicant George William Beaton Address of Applicant Glace Bay Date February 23, 1978

Relationship of Applicant to child same

AFFIDAVIT

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

Born at Balls Creek in the County of Cape Breton

That George WillardBeaton Whose Birth is sought to be registered was

born at Balls Creek Cape Breton County on February 26, 1920

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

1. Enclosed Birth Certificate 2. Such is the date my parents had always informed me as my birthday

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