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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99010223

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles BurtonSchwarts Sex Male

Date of Birth June 3, 1921 Place of Birth First PeninsulaCounty of Lunenburg

Name of Father Peter LeTourneau MAIDEN NAME of Mother Violet Schwarts

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

Residence of Father when child was born First Peninsula Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harris Nass Address of Applicant Centre Date July 1956

Relationship of Applicant to child Forster parent

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles BurtonSchwarts

Born at First Peninsula in the County of Lunenburg

That Charles BurtonSchwarts Whose Birth is sought to be registered was

born at First Peninsula Lunenburg County on June 3, 1921

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

Having brought up and cared for the said Charles Burton Nass since about the time of his birth. (School Records, National Registration Records - Army Records, Church Records and affidavit)

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