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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000182

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Calvin GeorgeAwalt Sex Male

Date of Birth November 13, 1922 Place of Birth BridgewaterCounty of Lunenburg

Name of Father George Dempsey Awalt MAIDEN NAME of Mother princetta Seamone

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

Residence of Father when child was born Bakers Settlement, Lunenburg Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Bridgewater, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant C. G. Awalt Address of Applicant Windsor Park PMQ's, Building 5, Apartment 5, Halifax Date 18 May 1954

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Calvin GeorgeAwalt

Born at Bridgewater in the County of Lunenburg

That Calvin GeorgeAwalt Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on November 13, 1922

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

Informed by parents of friends and taken from census of Greenfield School in Queens County in May 1937

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