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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000329

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vernon GarfieldMailman Sex Male

Date of Birth November 27, 1921 Place of Birth ColptonCounty of Lunenburg

Name of Father William Lloyd Mailman MAIDEN NAME of Mother Zoe Octavia Davis

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

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

Occupation of Father at Birth of child Sectionman Place of birth of Father Lequille

Race White Name and present address of Physician in attendance at birth Dr. Cole

Signature of Applicant William Lloyd Mailman Address of Applicant Colpton Date March 13, 1964

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vernon GarfieldMailman

Born at Colpton in the County of Lunenburg

That Vernon GarfieldMailman Whose Birth is sought to be registered was

born at Colpton Lunenburg County on November 27, 1921

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

By being the father of the child and by attached documents

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