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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000583

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 18, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Raymond Moffatt MAIDEN NAME of Mother Gladys Muise

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

Residence of Father when child was born Halifax, NS Present address of Father Hammonds Plains Road, Halifax Co., NS

Occupation of Father at Birth of child Mechanic Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant George A. Moffatt Address of Applicant 6859 Quinpool Road, Halifax, NS Date 25 July 1978

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That GeorgeMoffatt Whose Birth is sought to be registered was

born at Halifax Halifax County on October 18, 1924

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

Certificate from Public Archives of Nova Scotia Report from 1931 census Correct spelling of the surname is Moffatt

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