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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000355

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Murice GarfieldHorton Sex Male

Date of Birth May 28, 1921 Place of Birth Port BickertonCounty of Guysborough

Name of Father Garfield Horton MAIDEN NAME of Mother Amanda Bessie Kaiser

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

Residence of Father when child was born Port Bickerton Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Port Bickerton

Race English Name and present address of Physician in attendance at birth

Signature of Applicant Bessie Amanda Horton Address of Applicant Port Bickerton Date 10 February 1966

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Murice GarfieldHorton

Born at Port Bickerton in the County of Guysborough

That Murice GarfieldHorton Whose Birth is sought to be registered was

born at Port Bickerton Guysborough County on May 28, 1921

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

I remember as a fact that Maurice Garfield Horton was born on May 28, 1921

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