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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100316

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon LeviWeagle Sex Male

Date of Birth May 15, 1920 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Theophilus  Weagle MAIDEN NAME of Mother Lena Clattenburg

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Baker's Settlement

Race Name and present address of Physician in attendance at birth

Signature of Applicant Willis L. Ott Address of Applicant Bridgewater Date January 14, 1985

Relationship of Applicant to child Pastor

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon LeviWeagle

Born at Bridgewater in the County of Lunenburg

That Gordon LeviWeagle Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on May 15, 1920

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

-a search of the records of St. Paul's Lutheran - the baptismal records

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