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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000896

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William ClydeSutherland Sex Male

Date of Birth January 24, 1920 Place of Birth N ew GlasgowCounty of Pictou

Name of Father Neil Sutherland MAIDEN NAME of Mother Stella Stewart

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Tailor Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Otto Stewart Address of Applicant Stellarton Date January 10, 1978

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William ClydeSutherland

Born at N ew Glasgow in the County of Pictou

That William ClydeSutherland Whose Birth is sought to be registered was

born at N ew Glasgow Pictou County on January 24, 1920

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

Cradle Roll Certificate

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