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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100093

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 30, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father George Mannette MAIDEN NAME of Mother Gladys Vera Dooks

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Porters Lake

Race Name and present address of Physician in attendance at birth

Signature of Applicant George Chesley Mannette Address of Applicant Alfred St. Dartmouth Date December 16, 2005

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Dartmouth in the County of Halifax

That George ChesleyMannette Whose Birth is sought to be registered was

born at Dartmouth Halifax County on September 30, 1923

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

Baptism, Marriage Extract

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