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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000575

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bruce FrederickKing Sex Male

Date of Birth September 23, 1923 Place of Birth LockhartvilleCounty of Kings

Name of Father Douglas Burton King MAIDEN NAME of Mother Evangeline Mary Kelly

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

Residence of Father when child was born Lockhartville Kings Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Lockhartville, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bruce King Address of Applicant RR #1, Hantsport, Kings Co., NS Date 21 June 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bruce FrederickKing

Born at Lockhartville in the County of Kings

That Bruce FrederickKing Whose Birth is sought to be registered was

born at Lockhartville Kings County on September 23, 1923

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

Census records of Government of Canada Veterans Service Marriage extract - previous records show given names shown incorrectly.

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