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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500108

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Albert ConwrightDwyer Sex Male

Date of Birth November 13, 1919 Place of Birth Chignecto MinesCounty of Cumberland

Name of Father Albert Dwyer MAIDEN NAME of Mother no name given 

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

Residence of Father when child was born Chignecto Mines Present address of Father

Occupation of Father at Birth of child Fireman Place of birth of Father Point Debute

Race Name and present address of Physician in attendance at birth Dr. D.E. Forbes

Signature of Applicant Albert Dwyer Address of Applicant Chignecto Mines Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Albert ConwrightDwyer

Born at Chignecto Mines in the County of Cumberland

That Albert ConwrightDwyer Whose Birth is sought to be registered was

born at Chignecto Mines Cumberland County on November 13, 1919

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

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