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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000468

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George HenryWhiting Sex Male

Date of Birth October 30, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father Daniel Whiting MAIDEN NAME of Mother Catherine Burte

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

Residence of Father when child was born 3 Main Street, Glace Bay, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Labourer, No. 2 Colliery Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant George Whiting Address of Applicant Glace Bay, Cape Breton Date 29 January 1923

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George HenryWhiting

Born at Glace Bay in the County of Cape Breton

That George HenryWhiting Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 30, 1922

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

_______? both birth date and baptismal date from the United Church of Canada, Glace Bay, Cape Breton, enclosed

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