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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000557

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 27, 1924 Place of Birth AmherstCounty of Cumberland

Name of Father Peter Biotte MAIDEN NAME of Mother Zilda Cassie

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

Residence of Father when child was born Amherst, Cumberland Co., NS Present address of Father Moncton, New Brunswick

Occupation of Father at Birth of child Fisherman Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Peter Biotte Address of Applicant RR #9, Moncton, Box 2672 P.S. "A" Date 11 November 1977

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That PeterBiotte Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 27, 1924

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

I am the father

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