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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000116

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Karl JohnnyWalker Sex Male

Date of Birth May 19, 1921 Place of Birth ThorburnCounty of Colchester

Name of Father Karl Walker MAIDEN NAME of Mother Jean B. Guslin

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

Residence of Father when child was born Thorburn Present address of Father Springhill

Occupation of Father at Birth of child Miner Place of birth of Father Russia

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

Signature of Applicant Jean Walker Address of Applicant Springhill Date October 15, 1949

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Karl JohnnyWalker

Born at Thorburn in the County of Colchester

That Karl JohnnyWalker Whose Birth is sought to be registered was

born at Thorburn Colchester County on May 19, 1921

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

Because this was our first child born one year and twelve days after our marriage took place on the 7th May 1920 - 1 year and twelve days (Certificate from Church Records attached)

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