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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000209

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John WilliamIrving Sex Male

Date of Birth June 30, 1922 Place of Birth ScotsburnCounty of Pictou

Name of Father William R. Irving MAIDEN NAME of Mother Georgina May Lavers

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

Residence of Father when child was born Scotsburn, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Scotsburn Creamery Place of birth of Father New Glasgow, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Georgina M. Irving Address of Applicant RR #2, New Glasgow, Pictou Date 16 June 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John WilliamIrving

Born at Scotsburn in the County of Pictou

That John WilliamIrving Whose Birth is sought to be registered was

born at Scotsburn Pictou County on June 30, 1922

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

I am his mother. Cradle Roll certificate. Baby book.

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