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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700058

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of StewartFalconer Sex Male

Date of Birth December 31, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Rancefld Falconer MAIDEN NAME of Mother Nomia Abbot

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

Residence of Father when child was born Sydney Present address of Father 13 Franklyn St.

Occupation of Father at Birth of child Helper at Open Health Place of birth of Father Bonavista, Nfld

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

Signature of Applicant Rancefld Falconer Address of Applicant 13 Franklyn St., Sydney Date 07 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of StewartFalconer

Born at Sydney in the County of Cape Breton

That StewartFalconer Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 31, 1919

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

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