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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000926

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Basil EmmersonEttinger Sex Male

Date of Birth November 30, 1923 Place of Birth East GoreCounty of Hants

Name of Father Ellsworth Ettinger MAIDEN NAME of Mother Hattie Foley

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

Residence of Father when child was born South Maitland Hants Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Kennetcook, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Basil E. Ettinger Address of Applicant 53 Beaverbank Villa, Beaverbank, Halifax Co., NS Date 7 June 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Basil EmmersonEttinger

Born at East Gore in the County of Hants

That Basil EmmersonEttinger Whose Birth is sought to be registered was

born at East Gore Hants County on November 30, 1923

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

Census National registration Marriage extract

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