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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 14, 1919 Place of Birth SpringhillCounty of Cumberland

Name of Father Daniel R Beaton MAIDEN NAME of Mother Lizzie Tabor

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Cape Breton

Race Name and present address of Physician in attendance at birth Dr. M.J. Wardrope

Signature of Applicant Daniel R. Beaton Address of Applicant Springhill Mines Date 24 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Monson James WordrobeBeaton

Born at Springhill in the County of Cumberland

That Monson James WordrobeBeaton Whose Birth is sought to be registered was

born at Springhill Cumberland County on November 14, 1919

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

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