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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401186

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 22, 1906 Place of Birth OrangedaleCounty of Inverness

Name of Father William Miller MAIDEN NAME of Mother Annie McKinnon

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

Occupation of Father at Birth of child Brickmaker Place of birth of Father Shubenacadie

Race British Name and present address of Physician in attendance at birth J.F. McAulay

Signature of Applicant William Miller Address of Applicant Orangedale Date 25 January 1926

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Orangedale in the County of Inverness

That WalterMiller Whose Birth is sought to be registered was

born at Orangedale Inverness County on January 22, 1906

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

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