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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900889

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lewis William FredRoutledge Sex Male

Date of Birth February 1, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Fred  Routledge MAIDEN NAME of Mother Ethel Sophia Lewis

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

Residence of Father when child was born Reserve Mines Present address of Father deceased

Occupation of Father at Birth of child Contractor Place of birth of Father Reserve Mines

Race English Name and present address of Physician in attendance at birth F.W. Green

Signature of Applicant Lewis William F. Routledge Address of Applicant Sydney Date October 30, 1945

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lewis William FredRoutledge

Born at Glace Bay in the County of Cape Breton

That Lewis William FredRoutledge Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 1, 1920

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

Certificates hereto attached

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