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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000972

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AdelbertLongmire Sex Male

Date of Birth December 19, 1920 Place of Birth HillsburnCounty of Annapolis

Name of Father Harry Golf Longmire MAIDEN NAME of Mother Etta Myrtle Wilson

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Parker's Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Adelbert V. Longmire Address of Applicant Delap's Cove Date August 29, 1979

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AdelbertLongmire

Born at Hillsburn in the County of Annapolis

That AdelbertLongmire Whose Birth is sought to be registered was

born at Hillsburn Annapolis County on December 19, 1920

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

Family proof

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