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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000531

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clarence SidneyFerguson Sex Male

Date of Birth September 10, 1922 Place of Birth TangierCounty of Halifax

Name of Father Stansmore Ferguson MAIDEN NAME of Mother Josie 

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

Residence of Father when child was born Tangier, Halifax Present address of Father Deceased

Occupation of Father at Birth of child County Councillor Place of birth of Father Tangier, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Judy Sadler Address of Applicant 20 Parkdale Avenue Date 17 March 1975

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clarence SidneyFerguson

Born at Tangier in the County of Halifax

That Clarence SidneyFerguson Whose Birth is sought to be registered was

born at Tangier Halifax County on September 10, 1922

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

Certificate of Baptism

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