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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000702

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 5, 1923 Place of Birth BeckwithCounty of Cumberland

Name of Father John William Barnes MAIDEN NAME of Mother Gertrude Lala Adshade

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

Residence of Father when child was born Beckwith Cumberland Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Saw Mill Place of birth of Father West Leicester

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gordon Sylvanus Barnes Address of Applicant Salt Springs, Pictou Co., NS, B0K 1P0 Date 13 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Beckwith in the County of Cumberland

That Gordon SylvanusBarnes Whose Birth is sought to be registered was

born at Beckwith Cumberland County on March 5, 1923

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

Recorded in the family bible which by your letter of February 2ns, 1979 has been sent to you and returned.

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