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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100038

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 11, 1923 Place of Birth White PointCounty of Victoria

Name of Father George Fitzgerald MAIDEN NAME of Mother Elizabeth Dixon

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

Residence of Father when child was born White Point Victoria Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Boat Builder Place of birth of Father White Point, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Everetta MacKinnon Address of Applicant 5252 Tobin Street, Halifax, NS Date 11 July 1988

Relationship of Applicant to child Daughter

AFFIDAVIT

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

Born at White Point in the County of Victoria

That George GarfieldFitzgerald Whose Birth is sought to be registered was

born at White Point Victoria County on August 11, 1923

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

Certificate of baptism

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