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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000501

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kendall OtisGates Sex Male

Date of Birth June 11, 1923 Place of Birth New RossCounty of Lunenburg

Name of Father Ingerson John Gates MAIDEN NAME of Mother Mabel Harvey

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

Residence of Father when child was born New Ross Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Barrel Cooper Place of birth of Father New Ross, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kendall Otis Gates Address of Applicant RR #1, New Ross, Lunenburg Co., NS Date 7 May 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kendall OtisGates

Born at New Ross in the County of Lunenburg

That Kendall OtisGates Whose Birth is sought to be registered was

born at New Ross Lunenburg County on June 11, 1923

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

Information received from parents Same information was given to Canadian Army in 1942

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