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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900043

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louis WilliamBurns Sex Male

Date of Birth April 30, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father William  Burns MAIDEN NAME of Mother Catherine Hartlen

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

Residence of Father when child was born Halifax Present address of Father Halifax

Occupation of Father at Birth of child Guard at City Prison Place of birth of Father Halifax

Race English Name and present address of Physician in attendance at birth Dr. W.P. Mackesy

Signature of Applicant Catherine Burns Address of Applicant Halifax Date May 28, 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louis WilliamBurns

Born at Halifax in the County of Halifax

That Louis WilliamBurns Whose Birth is sought to be registered was

born at Halifax Halifax County on April 30, 1920

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

I am his mother

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