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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600324

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 23, 1923 Place of Birth TatamagoucheCounty of Colchester

Name of Father Tucker Mattatall MAIDEN NAME of Mother Margaret McQueen

Residence of Father when child was born Tatamagouche, Colchester Co., NS Present address of Father Tatamagouche, Colchester Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Tatamagouche, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Tucker B. Mattatall Address of Applicant Tatamagouche, Colchester Co., NS Date 21 February 1942

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Tatamagouche in the County of Colchester

That TuckerMattatall Whose Birth is sought to be registered was

born at Tatamagouche Colchester County on October 23, 1923

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

I am his father and was present at time and place of his birth.

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