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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000019

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Freeman MillageAtkinson Sex Male

Date of Birth February 8, 1922 Place of Birth Deep CoveCounty of Yarmouth

Name of Father Millage Freeman Atkinson MAIDEN NAME of Mother Mazie Jane Quinlan

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

Residence of Father when child was born Deep Cove, Yarmouth Present address of Father Yarmouth

Occupation of Father at Birth of child Fisherman Place of birth of Father Cape Sable Island, Shelburne

Race Name and present address of Physician in attendance at birth

Signature of Applicant Millage Atkinson Address of Applicant Yarmouth South, Yarmouth Date 7 March 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Freeman MillageAtkinson

Born at Deep Cove in the County of Yarmouth

That Freeman MillageAtkinson Whose Birth is sought to be registered was

born at Deep Cove Yarmouth County on February 8, 1922

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

I am the gather of Freeman Millage Atkinson

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