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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000105

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George EdwardBrewer Sex Male

Date of Birth November 24, 1922 Place of Birth DominionCounty of Cape Breton

Name of Father Michael Brewer MAIDEN NAME of Mother Viola MacKay

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

Residence of Father when child was born Kings Road, Dominion, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Lingan, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant Viola Brewer Address of Applicant Kings Road, Dominion, Cape Breton Date 16 October 1950

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George EdwardBrewer

Born at Dominion in the County of Cape Breton

That George EdwardBrewer Whose Birth is sought to be registered was

born at Dominion Cape Breton County on November 24, 1922

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

I am his mother (certificate from church records attached)

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