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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000271

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William TingleyKingan Sex Male

Date of Birth January 19, 1922 Place of Birth StellartonCounty of Pictou

Name of Father William Kingan MAIDEN NAME of Mother Annie May Mason

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Westville, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Janet Johnstone Address of Applicant Box 98, Thorburn, Pictou Date 1 August 1961

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William TingleyKingan

Born at Stellarton in the County of Pictou

That William TingleyKingan Whose Birth is sought to be registered was

born at Stellarton Pictou County on January 19, 1922

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

I Janet Kingan Johnstone, was present in the house at MacKay Street, Stellarton at the time of my brothers birth. I was then 13 years old. (The correct surname is Kingan although there are variations of spelling of the name)

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