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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700512

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 15, 1919 Place of Birth New AberdeenCounty of Cape Breton

Name of Father John Henry Waterfield MAIDEN NAME of Mother Mary Frances Wiseman

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Ilkeston, England

Race Name and present address of Physician in attendance at birth Dr. E.O. McDonald

Signature of Applicant John Henry Waterfield Address of Applicant New Aberdeen Date 01 November 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at New Aberdeen in the County of Cape Breton

That ArthurWaterfield Whose Birth is sought to be registered was

born at New Aberdeen Cape Breton County on October 15, 1919

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

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