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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000973

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lester TrumanScott Sex Male

Date of Birth June 18, 1921 Place of Birth West Green HarbourCounty of Shelburne

Name of Father James Freeman Scott MAIDEN NAME of Mother Ellen Olivia Williams

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

Residence of Father when child was born West Green Harbour Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father West Green Harbour

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ellen O. Scott Address of Applicant West Green Harbour Date March 3, 1982

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lester TrumanScott

Born at West Green Harbour in the County of Shelburne

That Lester TrumanScott Whose Birth is sought to be registered was

born at West Green Harbour Shelburne County on June 18, 1921

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

I am Lesters mother and clearly remember the day he was born.

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