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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000380

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ronald MauriceMossman Sex Male

Date of Birth June 11, 1924 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Maurice Mossman MAIDEN NAME of Mother Sadie Mildred Veinotte

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

Residence of Father when child was born Bridgewater, Lunenburg Co., NS Present address of Father Bridgewater, Lunenburg Co., NS

Occupation of Father at Birth of child Cabinet Maker Place of birth of Father Pinehurst, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sadie M. Mossman Address of Applicant Bridgewater, Lunenburg Co., NS Date 22 June 1954

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ronald MauriceMossman

Born at Bridgewater in the County of Lunenburg

That Ronald MauriceMossman Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on June 11, 1924

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

I was the doctors attendant at this birth

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