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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000711

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Freeman LeanderBeaver Sex Male

Date of Birth February 6, 1924 Place of Birth Murphy's CoveCounty of Halifax

Name of Father Stanley H. Beaver MAIDEN NAME of Mother Maud M. Monk

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

Residence of Father when child was born East Ship Harbour, Halifax Co., NS Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father Pleasant Harbour, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant F. L. Beaver Address of Applicant 16 Rosehedge Lane, Dartmouth, NS Date 5 May 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Freeman LeanderBeaver

Born at Murphy's Cove in the County of Halifax

That Freeman LeanderBeaver Whose Birth is sought to be registered was

born at Murphy's Cove Halifax County on February 6, 1924

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

Baptism certificate

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