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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000362

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gardner ClairMarshall Sex Male

Date of Birth May 3, 1924 Place of Birth EarltownCounty of Colchester

Name of Father Daniel Roderick Marshall MAIDEN NAME of Mother Margaret Cavanaugh

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

Residence of Father when child was born Earltown, Colchester Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Lumberman Place of birth of Father Earltown, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gardner C. Marshall Address of Applicant RR #2, Truro, Colchester Co., NS Date 13 November 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gardner ClairMarshall

Born at Earltown in the County of Colchester

That Gardner ClairMarshall Whose Birth is sought to be registered was

born at Earltown Colchester County on May 3, 1924

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

1. School attendance record 2. Family bible

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