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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800456

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Claude AllisterMattatall Sex Male

Date of Birth May 11, 1922 Place of Birth Lake RoadCounty of Colchester

Name of Father Chisholm Mattatall MAIDEN NAME of Mother Clara Watson

Residence of Father when child was born Lake Road, Colchester Co., NS Present address of Father Maccan, Cumberland Co., NS

Occupation of Father at Birth of child Fireman Place of birth of Father Lake Road, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Claude Allister Mattatall Address of Applicant Maccan, Cumberland Co., NS Date 6 November 1944

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Claude AllisterMattatall

Born at Lake Road in the County of Colchester

That Claude AllisterMattatall Whose Birth is sought to be registered was

born at Lake Road Colchester County on May 11, 1922

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

I am his mother

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