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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000705

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon McClearGeizer Sex Male

Date of Birth November 10, 1922 Place of Birth ArdoiseCounty of Hants

Name of Father Stanley Geezer MAIDEN NAME of Mother Sadie Doyle

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

Residence of Father when child was born Ardoise, Hants Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sadie Geezer Address of Applicant Kane Street, Halifax Date 29 September 1978

Relationship of Applicant to child Sister in Law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon McClearGeizer

Born at Ardoise in the County of Hants

That Gordon McClearGeizer Whose Birth is sought to be registered was

born at Ardoise Hants County on November 10, 1922

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

Baptismal certificate and marriage extract

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