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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000544

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 18, 1923 Place of Birth LitchfieldCounty of Annapolis

Name of Father Ralph Gordon Hamilton MAIDEN NAME of Mother Edna Ellen Everett

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

Residence of Father when child was born Litchfield Present address of Father Litchfield

Occupation of Father at Birth of child Fisherman Place of birth of Father Litchfield

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gordon E. Hamilton Address of Applicant Litchfield Date 24 September 1975

Relationship of Applicant to child N/A

AFFIDAVIT

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

Born at Litchfield in the County of Annapolis

That Gordon EverettHamilton Whose Birth is sought to be registered was

born at Litchfield Annapolis County on June 18, 1923

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

I am the Applicant

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