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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000210

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph AmbroseBeaton Sex Male

Date of Birth June 29, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Donald Alexander Beaton MAIDEN NAME of Mother Genevieve Ryan

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

Residence of Father when child was born Inverness Ns Present address of Father Coniston, Ontario

Occupation of Father at Birth of child Miner Place of birth of Father Mabou, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ambrose Beaton Address of Applicant Glenville, Inverness Co., NS Date March 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph AmbroseBeaton

Born at Inverness in the County of Inverness

That Joseph AmbroseBeaton Whose Birth is sought to be registered was

born at Inverness Inverness County on June 29, 1923

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

Certificate of Baptism (attached) Family record

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