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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000999

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lewis DonaldMarple Sex Male

Date of Birth October 22, 1923 Place of Birth KingrossCounty of Inverness

Name of Father James G. Marple MAIDEN NAME of Mother Mildred Ethridge

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

Residence of Father when child was born Big Intervale Inverness Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Big Intervale, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lewis D. Marple Address of Applicant PO Box 68, Margaree Valley, Inverness Co., NS Date 12 August 1987

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lewis DonaldMarple

Born at Kingross in the County of Inverness

That Lewis DonaldMarple Whose Birth is sought to be registered was

born at Kingross Inverness County on October 22, 1923

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

1. Census forms 2. National registration 3. School extract 4. Maiden name of mother taken from parents marriage #17-02-019229

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