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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501651

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carl RaymondRiggs Sex Male

Date of Birth October 2, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Berkeley Rose Riggs MAIDEN NAME of Mother Olive Billard

Residence of Father when child was born North Sydney, Cape Breton Co. Present address of Father North Sydney, Cape Breton Co.

Occupation of Father at Birth of child Coal Miner Place of birth of Father Nova Scotia

Race English Name and present address of Physician in attendance at birth Dr. M. J. McLean (deceased)

Signature of Applicant Berkeley Riggs Address of Applicant Cornwallis Street, North Sydney, Cape Breton Co. Date 22 July 1939

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carl RaymondRiggs

Born at North Sydney in the County of Cape Breton

That Carl RaymondRiggs Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 2, 1920

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

I am his father

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