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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000955

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of George KennethMilbury Sex Male

Date of Birth October 4, 1923 Place of Birth Youngs CoveCounty of Annapolis

Name of Father George Rollins Milbury MAIDEN NAME of Mother Mildred Young

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

Residence of Father when child was born Youngs Cove Annapolis Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Youngs Cove, Annapolis Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant George Kenneth Milbury Address of Applicant Youngs Cove, Annapolis Co., NS Date 2 January 1986

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of George KennethMilbury

Born at Youngs Cove in the County of Annapolis

That George KennethMilbury Whose Birth is sought to be registered was

born at Youngs Cove Annapolis County on October 4, 1923

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

1. Family bible 2. Marriage extract

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