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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500218

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edgar RobertMitchell Sex Male

Date of Birth December 1, 1919 Place of Birth PugwashCounty of Cumberland

Name of Father James Amos Mitchell MAIDEN NAME of Mother Amy Amelia Davis

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

Residence of Father when child was born Pugwash Present address of Father

Occupation of Father at Birth of child Farmer Place of birth of Father Pugwash

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

Signature of Applicant James Amos Mitchell Address of Applicant Pugwash Date 22 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edgar RobertMitchell

Born at Pugwash in the County of Cumberland

That Edgar RobertMitchell Whose Birth is sought to be registered was

born at Pugwash Cumberland County on December 1, 1919

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

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