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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000526

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JamesPettigrew Sex Male

Date of Birth August 2, 1924 Place of Birth AmherstCounty of Cumberland

Name of Father   MAIDEN NAME of Mother Dorothy Pettigrew

Were the Parents married at the time of the Birth? No

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 James H. Pettigrew Address of Applicant Apt. 7 - 89 Chudley Street, Winnipeg, Manitoba Date 22 September 1975

Relationship of Applicant to child The applicant himself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JamesPettigrew

Born at Amherst in the County of Cumberland

That JamesPettigrew Whose Birth is sought to be registered was

born at Amherst Cumberland County on August 2, 1924

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

My only knowledge is what my mother told me who's name was Dorothy Pettigrew

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