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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000429

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 30, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father Ernest Newell MAIDEN NAME of Mother Bessie Blades

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

Residence of Father when child was born Yarmouth Ns Present address of Father St. John, New Brunswick

Occupation of Father at Birth of child Labourer Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant George H. Newell Address of Applicant RR #7, St. John, New Brunswick Date 6 March 1972

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Yarmouth in the County of Yarmouth

That George HenryNewell Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on December 30, 1923

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

As per your attached letter you have the census reports and the school records showing December 30, 1923 as date of birth.

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