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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300345

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Reuben JohnNaugle Sex Male

Date of Birth February 14, 1906 Place of Birth HalifaxCounty of Halifax

Name of Father Reuben Naugle MAIDEN NAME of Mother Sarah Donaldson

Residence of Father when child was born Sable Island Present address of Father Sable Island

Occupation of Father at Birth of child Life Saver Place of birth of Father Eastern Passage

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

Signature of Applicant Reuben Naugle Address of Applicant Eastern Passage Date 15 December 1925

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Reuben JohnNaugle

Born at Halifax in the County of Halifax

That Reuben JohnNaugle Whose Birth is sought to be registered was

born at Halifax Halifax County on February 14, 1906

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

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