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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000095

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas HuggardRoss Sex Male

Date of Birth December 21, 1921 Place of Birth Whitney Pier, SydneyCounty of Cape Breton

Name of Father Robert Hector Ross MAIDEN NAME of Mother Alina Belle Morrison

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

Occupation of Father at Birth of child Coal Shipper Place of birth of Father St. Peters, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Robert H. Ross Address of Applicant 117 East Cross Street, Norwood, Massachusetts, USA Date 14 July 1941

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas HuggardRoss

Born at Whitney Pier, Sydney in the County of Cape Breton

That Douglas HuggardRoss Whose Birth is sought to be registered was

born at Whitney Pier, Sydney Cape Breton County on December 21, 1921

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

Certificate of Baptism. February 15, 1922 this certifies that Douglas Huggard, child of Robert H. Ross and Alena Morrison, born December 21, 1921 has this day been baptized.

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