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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700333

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kenneth GordonUrquart Sex Male

Date of Birth February 1, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father John Hector Urquhart MAIDEN NAME of Mother Margaret Brown

Residence of Father when child was born Sydney, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Canadian National Railway Conductor Place of birth of Father Grand River, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Urquhart Address of Applicant 20 Campbell Street, Sydney, Cape Breton Co., NS Date 1 December 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kenneth GordonUrquart

Born at Sydney in the County of Cape Breton

That Kenneth GordonUrquart Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 1, 1920

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

I am his mother and well remember the date of his birth

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