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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000028

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sterling LeroyGeorge Sex Male

Date of Birth March 2, 1922 Place of Birth PlymouthCounty of Pictou

Name of Father Lonas Havelock George MAIDEN NAME of Mother Mable Gladys Palmer

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

Residence of Father when child was born Queensport, Guysborough Present address of Father Riverton, Pictou

Occupation of Father at Birth of child Woodsman Place of birth of Father Queensport, Guysborough

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lonas Havelock George Address of Applicant Riverton, Pictou Date 3 May 1947

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sterling LeroyGeorge

Born at Plymouth in the County of Pictou

That Sterling LeroyGeorge Whose Birth is sought to be registered was

born at Plymouth Pictou County on March 2, 1922

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

As father of the said Sterling LeRoy George, I am personally aware of his date of birth and was at home for the date of his birth, March 2nd, 1922

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