Male Birth Registration: Year: 1922 number: 99000243
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000243
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Ralph StevensonSurrette Sex Male
Date of Birth April 5, 1922 Place of Birth ArcadieCounty of Yarmouth
Name of Father Leon Surrette MAIDEN NAME of Mother Gertrude Berry
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Arcadia, Yarmouth Present address of Father Arcadia, Yarmouth
Occupation of Father at Birth of child Labourer Place of birth of Father French Salmon River, Digby
Race Name and present address of Physician in attendance at birth
Signature of Applicant Mrs. Gertrude Surrette Address of Applicant Arcadia, Yarmouth Date 8 October 1958
Relationship of Applicant to child Mother
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Ralph StevensonSurrette
Born at Arcadie in the County of Yarmouth
That Ralph StevensonSurrette Whose Birth is sought to be registered was
born at Arcadie Yarmouth County on April 5, 1922
My knowledge of the fact and date of such Birth is based on the following Circumstances:
I am the mother and know the above facts to be true. School record and National Registration record.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=431495
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