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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100002

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of BuddieMacBride Sex Male

Date of Birth September 28, 1921 Place of Birth BlomindonCounty of Kings

Name of Father   MAIDEN NAME of Mother Nellie R. MacBride

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Buddie MacBride Address of Applicant 1013 Roy Ave. New Minas Date January 11, 1983

Relationship of Applicant to child App

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of BuddieMacBride

Born at Blomindon in the County of Kings

That BuddieMacBride Whose Birth is sought to be registered was

born at Blomindon Kings County on September 28, 1921

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

School records

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