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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700083

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George EdwardBuffett Sex Male

Date of Birth December 7, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Charles Buffett MAIDEN NAME of Mother Elizabeth Buffett

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

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

Occupation of Father at Birth of child Place of birth of Father Newfoundland

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

Signature of Applicant Elizabeth Buffett Address of Applicant Sydney Mines Date 18 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George EdwardBuffett

Born at Sydney Mines in the County of Cape Breton

That George EdwardBuffett Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on December 7, 1919

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

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