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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602504

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas William AlfredRoss Sex Male

Date of Birth April 26, 1906 Place of Birth West Branch River JohnCounty of Pictou

Name of Father James William Ross MAIDEN NAME of Mother Mary Gammon

Residence of Father when child was born West Branch River John Present address of Father West Branch River John

Occupation of Father at Birth of child Farmer Place of birth of Father West Branch River John

Race Name and present address of Physician in attendance at birth Dr. Duncan Campbell

Signature of Applicant James William Ross Address of Applicant West Branch River John Date 2 September 1926

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas William AlfredRoss

Born at West Branch River John in the County of Pictou

That Thomas William AlfredRoss Whose Birth is sought to be registered was

born at West Branch River John Pictou County on April 26, 1906

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

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