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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

37900984

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fredrick ArthurAtkinson Sex Male

Date of Birth February 25, 1924 Place of Birth North East PointCounty of Shelburne

Name of Father   MAIDEN NAME of Mother Abbie J. Atkinson

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Abbie J. Brewer Address of Applicant 28 Falcon Street, Portland, Maine Date 28 June 1929

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fredrick ArthurAtkinson

Born at North East Point in the County of Shelburne

That Fredrick ArthurAtkinson Whose Birth is sought to be registered was

born at North East Point Shelburne County on February 25, 1924

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

That I was the attending physician

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