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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000145

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon PerryWhitehouse Sex Male

Date of Birth August 20, 1923 Place of Birth South OhioCounty of Yarmouth

Name of Father John Osborne Whitehouse MAIDEN NAME of Mother Ophelia Gertrude Nichols

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

Residence of Father when child was born Brazil Lake Yarmouth Co. Ns Present address of Father Brazil Lake, Yarmouth Co., NS

Occupation of Father at Birth of child Section Man, Dominion Atlantic Railway Place of birth of Father Brazil Lake, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Osborne Whitehouse Address of Applicant Brazil Lake, Yarmouth Co., NS Date 6 May 1952

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon PerryWhitehouse

Born at South Ohio in the County of Yarmouth

That Gordon PerryWhitehouse Whose Birth is sought to be registered was

born at South Ohio Yarmouth County on August 20, 1923

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

First, he is my son. Second, the above date of birth was recorded in family Bible at time of his birth, which record I presented to Justice for his examination.

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