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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000280

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas RaymondBeaton Sex Male

Date of Birth September 7, 1924 Place of Birth SpringhillCounty of Cumberland

Name of Father Daniel Robertson Beaton MAIDEN NAME of Mother Elizabeth Tabor

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

Residence of Father when child was born Springhill, Cumberland Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Cape Breton, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Douglas R. Beaton Address of Applicant Springhill, Cumberland Co., NS Date 15 April 1965

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas RaymondBeaton

Born at Springhill in the County of Cumberland

That Douglas RaymondBeaton Whose Birth is sought to be registered was

born at Springhill Cumberland County on September 7, 1924

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

I am a brother of Douglas Raymond Beaton and his senior by 15 years. I was present in the house on the day that he was born and know that he was born on the 7th day of September 1924

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