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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000059

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 23, 1923 Place of Birth AuburnCounty of Kings

Name of Father James William Seamon MAIDEN NAME of Mother Elizabeth Gravett

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

Residence of Father when child was born Auburn Kings Co. Ns Present address of Father Auburn, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Harmony, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant James William Seamon Address of Applicant Auburn, Kings Co., NS Date 16 March 1946

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Auburn in the County of Kings

That George AllanSeamon Whose Birth is sought to be registered was

born at Auburn Kings County on January 23, 1923

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

I am his father and was home at that time. Not likely to forget.

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