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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000101

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alexander DavidProbert Sex Male

Date of Birth January 9, 1922 Place of Birth West Middle RiverCounty of Victoria

Name of Father William Probert MAIDEN NAME of Mother Rachel Christina MacQuarrie

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

Residence of Father when child was born West Middle River, Victoria Present address of Father West Middle River, Victoria

Occupation of Father at Birth of child Farmer Place of birth of Father Truro, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant William Probert Address of Applicant West Middle River, Victoria Date 2 March 1950

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alexander DavidProbert

Born at West Middle River in the County of Victoria

That Alexander DavidProbert Whose Birth is sought to be registered was

born at West Middle River Victoria County on January 9, 1922

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

Being father, also enclosing certificate of baptism and mother still living.

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