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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000725

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of WalterBudge Sex Male

Date of Birth December 13, 1922 Place of Birth New HavenCounty of Victoria

Name of Father George William Budge MAIDEN NAME of Mother  Dawe

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

Residence of Father when child was born New Haven, Victoria Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Harbour La Cove, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Walter Budge Address of Applicant New Haven, Victoria Date 24 February 1979

Relationship of Applicant to child applicant is applying for his own registration

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of WalterBudge

Born at New Haven in the County of Victoria

That WalterBudge Whose Birth is sought to be registered was

born at New Haven Victoria County on December 13, 1922

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

Certificate of baptism which is enclosed

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