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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100081

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur AshbyUrquhart Sex Male

Date of Birth December 24, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father George urquhart MAIDEN NAME of Mother Georgina Betts

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

Residence of Father when child was born New Glasgow, Pictou Co. Present address of Father deceased

Occupation of Father at Birth of child Foundry Man Place of birth of Father Londonderry, Colchester Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Arthur Ashby Urquhart Address of Applicant 139 North Avenue, New Glasgow, Pictou Co. Date 15 September 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur AshbyUrquhart

Born at New Glasgow in the County of Pictou

That Arthur AshbyUrquhart Whose Birth is sought to be registered was

born at New Glasgow Pictou County on December 24, 1920

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

Baptismal & marriage extract

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