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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600521

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hector RusselConrad Sex Male

Date of Birth May 20, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father Alfred Elijah Conrad MAIDEN NAME of Mother Georgina Belle Legge

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

Residence of Father when child was born Liverpool, Queens co. Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Liverpool, Queens co.

Race White Name and present address of Physician in attendance at birth Dr. Y. R. Ford, Liverpool, Queens co.

Signature of Applicant Mrs. Georgina B. Conrad Address of Applicant Liverpool, Queens co. Date 28 April 1937

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hector RusselConrad

Born at Liverpool in the County of Queens

That Hector RusselConrad Whose Birth is sought to be registered was

born at Liverpool Queens County on May 20, 1920

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

As his mother, I always keep in mind the date and place of birth of my children

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