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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900917

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Victor HartwellSutherland Sex Male

Date of Birth June 15, 1922 Place of Birth East MapletonCounty of Cumberland

Name of Father John Addison Sutherland MAIDEN NAME of Mother Flossie Flo Mills

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Flossie Sutherland Address of Applicant Cove Road, Colchester Co., NS Date 22 June 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Victor HartwellSutherland

Born at East Mapleton in the County of Cumberland

That Victor HartwellSutherland Whose Birth is sought to be registered was

born at East Mapleton Cumberland County on June 15, 1922

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

I (Mrs. William T. Mills, mother of this boy's mother) was present when this child was born.

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