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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000720

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Weldon GeorgeHorton Sex Male

Date of Birth March 2, 1922 Place of Birth New GlasgowCounty of Pictou

Name of Father George Norton MAIDEN NAME of Mother Ruby Horton

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

Residence of Father when child was born New Glasgow, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Machinist Place of birth of Father Guysborough

Race Name and present address of Physician in attendance at birth

Signature of Applicant Weldon G. Horton Address of Applicant RR #3, New Glasgow, Pictou Date January 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Weldon GeorgeHorton

Born at New Glasgow in the County of Pictou

That Weldon GeorgeHorton Whose Birth is sought to be registered was

born at New Glasgow Pictou County on March 2, 1922

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

Enclosed Records

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