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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000416

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Walter CharlesStubbard Sex Male

Date of Birth June 6, 1922 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Porter Stubbard MAIDEN NAME of Mother Mary Stubbard

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

Residence of Father when child was born New Waterford, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Auditor Place of birth of Father Reserve Mines, Cape Breton

Race Name and present address of Physician in attendance at birth

Signature of Applicant W. C. Stubbard Address of Applicant 6501 Mascarene Drive, Apt 3, Halifax Date 15 June 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Walter CharlesStubbard

Born at New Waterford in the County of Cape Breton

That Walter CharlesStubbard Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on June 6, 1922

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

Baptism certificate and National Registration.

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