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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100079

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Burton ElwoodWatt Sex Male

Date of Birth April 23, 1922 Place of Birth River JohnCounty of Pictou

Name of Father Hiram Watt MAIDEN NAME of Mother Catherine Gammon

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

Residence of Father when child was born River John, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Farming Place of birth of Father River John, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Burton E. Watt Address of Applicant RR #2, River John, Pictou Date 9 February 1987

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Burton ElwoodWatt

Born at River John in the County of Pictou

That Burton ElwoodWatt Whose Birth is sought to be registered was

born at River John Pictou County on April 23, 1922

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

Records enclosed: Doctors records and church records

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