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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500004

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James GordonCaddick Sex Male

Date of Birth October 5, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father James Caddick MAIDEN NAME of Mother Margaret Anna MacDonald

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

Residence of Father when child was born Amherst Present address of Father 48 South Alton St.

Occupation of Father at Birth of child Iron worker Place of birth of Father Cumberland Co.

Race Name and present address of Physician in attendance at birth Dr. Goodwin

Signature of Applicant James Caddick Address of Applicant 48 South Alton St. Date 10 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James GordonCaddick

Born at Amherst in the County of Cumberland

That James GordonCaddick Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 5, 1919

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

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