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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600920

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick AlbinKing Sex Male

Date of Birth May 4, 1921 Place of Birth East HanafordCounty of Cumberland

Name of Father Oliver Melvin King MAIDEN NAME of Mother Marie B. Sumara

Residence of Father when child was born East Hansford, Cumberland Co., NS Present address of Father Dead

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Marie B. King Address of Applicant Cumberland Co., NS Date 30 April 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick AlbinKing

Born at East Hanaford in the County of Cumberland

That Frederick AlbinKing Whose Birth is sought to be registered was

born at East Hanaford Cumberland County on May 4, 1921

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

I am his mother

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