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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000377

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerald ClydeKnickle Sex Male

Date of Birth June 26, 1924 Place of Birth Blue RocksCounty of Lunenburg

Name of Father Charles Lorraine Knickle MAIDEN NAME of Mother Alice Marie Knickle

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

Residence of Father when child was born Blue Rocks, Lunenburg Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Blue Rocks, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant W. R. Stevens Address of Applicant 13 Armshore Drive, Halifax, NS Date 13 September 1972

Relationship of Applicant to child Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerald ClydeKnickle

Born at Blue Rocks in the County of Lunenburg

That Gerald ClydeKnickle Whose Birth is sought to be registered was

born at Blue Rocks Lunenburg County on June 26, 1924

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

Certificate of Baptism Extract from marriage record

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