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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000454

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerald DennisWight Sex Male

Date of Birth May 29, 1923 Place of Birth StonehurstCounty of Lunenburg

Name of Father William Dennis Wight MAIDEN NAME of Mother Violet Richardson

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

Residence of Father when child was born Stonehurst Lunenburg Co. Ns Present address of Father Garden Lots, Lunenburg Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Stonehurst, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gerald Dennis Wight Address of Applicant PO Box 1154, Garden Lots, Lunenburg Co., NS Date 22 November 1972

Relationship of Applicant to child Applicant is the child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerald DennisWight

Born at Stonehurst in the County of Lunenburg

That Gerald DennisWight Whose Birth is sought to be registered was

born at Stonehurst Lunenburg County on May 29, 1923

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

I am the father of the said Gerald Dennis Wight and was present at the time of his birth.

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