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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100073

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Garfield FarrienMiddelton Sex Male

Date of Birth April 9, 1921 Place of Birth DarmouthCounty of Halifax

Name of Father Percy F. Middleton MAIDEN NAME of Mother Annie Thomas

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

Residence of Father when child was born Dawson St. Dartmouth Present address of Father deceased

Occupation of Father at Birth of child Captain (Ferry Boat) Place of birth of Father New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Delores Doiron Address of Applicant 45 Ellerslie Cres. Dartmouth Date December 3, 1984

Relationship of Applicant to child Niece

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Garfield FarrienMiddelton

Born at Darmouth in the County of Halifax

That Garfield FarrienMiddelton Whose Birth is sought to be registered was

born at Darmouth Halifax County on April 9, 1921

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

1) Census 2) School Extract

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