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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000602

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carl DouglasEdgett Sex Male

Date of Birth September 7, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father John W. Edgett MAIDEN NAME of Mother Mabel G. Bishop

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

Residence of Father when child was born Amherst, Cumberland Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Hillsboro, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel G. Edgett Address of Applicant 43 Hickman Street, Amherst, Cumberland Date 14 October 1976

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carl DouglasEdgett

Born at Amherst in the County of Cumberland

That Carl DouglasEdgett Whose Birth is sought to be registered was

born at Amherst Cumberland County on September 7, 1922

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

I am his mother

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