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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602697

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George HenrySutherland Sex Male

Date of Birth November 22, 1906 Place of Birth Marshy HopeCounty of Pictou

Name of Father Andrew Alexander Sutherland MAIDEN NAME of Mother Margaret Anna Dyment

Residence of Father when child was born Marshy Hope Present address of Father Marshy Hope

Occupation of Father at Birth of child Farmer Place of birth of Father Marshy Hope

Race Scotch Name and present address of Physician in attendance at birth Dr. Alexander Ross

Signature of Applicant Andrew Alexander Sutherland Address of Applicant Marshy Hope Date 17 July 1928

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George HenrySutherland

Born at Marshy Hope in the County of Pictou

That George HenrySutherland Whose Birth is sought to be registered was

born at Marshy Hope Pictou County on November 22, 1906

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

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