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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500167

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alton RobertJohnston Sex Male

Date of Birth November 26, 1919 Place of Birth New SalemCounty of Cumberland

Name of Father Thomas Alton Johnston MAIDEN NAME of Mother May Beatrice McAloney

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

Residence of Father when child was born New Salem Present address of Father

Occupation of Father at Birth of child Lumberman Place of birth of Father New Salem

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

Signature of Applicant May Beatrice Johnston Address of Applicant New Salem Date 20 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alton RobertJohnston

Born at New Salem in the County of Cumberland

That Alton RobertJohnston Whose Birth is sought to be registered was

born at New Salem Cumberland County on November 26, 1919

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

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