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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900514

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George DonaldYoung Sex Male

Date of Birth November 16, 1923 Place of Birth Grace Maternity Hospital, HalifaxCounty of Halifax

Name of Father Charlie Young MAIDEN NAME of Mother Mary W. Kelly

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

Residence of Father when child was born Ketch Harbour, Halifax, NS Present address of Father East Petpeswick, Halifax, NS

Occupation of Father at Birth of child Fisherman Place of birth of Father East Petpeswick, Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Charles Young Address of Applicant East Petpeswick, Halifax, NS Date 23 March 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George DonaldYoung

Born at Grace Maternity Hospital, Halifax in the County of Halifax

That George DonaldYoung Whose Birth is sought to be registered was

born at Grace Maternity Hospital, Halifax Halifax County on November 16, 1923

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

Parents, Mother & father of George Donald Young at time of birth lived at Ketch Harbour but moved to East petpeswick some years later.

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