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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000030

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Winston RandallHamilton Sex Male

Date of Birth April 3, 1922 Place of Birth Forest GlenCounty of Yarmouth

Name of Father Ezra Whitman Hamilton MAIDEN NAME of Mother Vera Ruth Bethune

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

Residence of Father when child was born Forest Glen, Yarmouth Present address of Father Milltown, New Brunswick

Occupation of Father at Birth of child Woodsman Place of birth of Father Forest Glen, Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant V. R. Hamilton Address of Applicant Milltown, New Brunswick Date 24 February 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Winston RandallHamilton

Born at Forest Glen in the County of Yarmouth

That Winston RandallHamilton Whose Birth is sought to be registered was

born at Forest Glen Yarmouth County on April 3, 1922

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

I am his mother

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