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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000050

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon ClarenceYetter Sex Male

Date of Birth October 23, 1922 Place of Birth Tufts CoveCounty of Halifax

Name of Father Samuel Albert Yetter MAIDEN NAME of Mother Blanche Ethel Hatt

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

Residence of Father when child was born Tufts Cove, Halifax Present address of Father Tufts Cove, Halifax

Occupation of Father at Birth of child Printer Place of birth of Father Tufts Cove, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Samuel Yetter Address of Applicant Tufts Cove, Halifax Date 17 June 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon ClarenceYetter

Born at Tufts Cove in the County of Halifax

That Gordon ClarenceYetter Whose Birth is sought to be registered was

born at Tufts Cove Halifax County on October 23, 1922

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

That I am the mother of the child

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