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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000074

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gilbert MunroeMacBeth Sex Male

Date of Birth October 14, 1922 Place of Birth ThorburnCounty of Pictou

Name of Father William Munroe MacBeth MAIDEN NAME of Mother Annie Viola McNeil

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

Residence of Father when child was born Thorburn, Pictou Present address of Father RR 1, Thorburn, Pictou

Occupation of Father at Birth of child Coal Miner Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Viola MacBeth Address of Applicant RR 1, Thorburn, Pictou Date 5 July 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gilbert MunroeMacBeth

Born at Thorburn in the County of Pictou

That Gilbert MunroeMacBeth Whose Birth is sought to be registered was

born at Thorburn Pictou County on October 14, 1922

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

That I am the mother of the above named Gilbert Munroe MacBeth and as such, I had to be present - in the day and born of his both.

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