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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000225

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AlexanderGavin Sex Male

Date of Birth September 10, 1921 Place of Birth MerlandCounty of Guysborough

Name of Father James  Gavin MAIDEN NAME of Mother Sarah Bowman

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Merland

Race Irish Name and present address of Physician in attendance at birth Mrs. V. Pitts

Signature of Applicant John Alexander Gavin Address of Applicant R.R. #1 Afton Date August 14, 1956

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AlexanderGavin

Born at Merland in the County of Guysborough

That John AlexanderGavin Whose Birth is sought to be registered was

born at Merland Guysborough County on September 10, 1921

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

Recorded on Parish of Tracadie Register

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