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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600964

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy RaymondRichardson Sex Male

Date of Birth September 4, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father George Thomas Richardson MAIDEN NAME of Mother Susan Josephine Eveleigh

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

Residence of Father when child was born Halifax, NS` Present address of Father Halifax

Occupation of Father at Birth of child Shipper Place of birth of Father Halifax

Race English Name and present address of Physician in attendance at birth Dr. G. A. McIntosh

Signature of Applicant Sue J. Richardson Address of Applicant Halifax Date 1 June 1938

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy RaymondRichardson

Born at Halifax in the County of Halifax

That Roy RaymondRichardson Whose Birth is sought to be registered was

born at Halifax Halifax County on September 4, 1920

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

A am the mother of child and remember the facts of the case

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