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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000411

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 3, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Arthur Rawlings MAIDEN NAME of Mother Catherine MacDougall

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Steel Worker Place of birth of Father Pictou County

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

Signature of Applicant Ruth W. Spurr Address of Applicant 212 S. Arthur St. Point Edward, Ontario Date August 6, 1969

Relationship of Applicant to child Friend

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That John JamesRawlings Whose Birth is sought to be registered was

born at New Glasgow Pictou County on February 3, 1921

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

Baptismal Certificate

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