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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000155

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

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

Name of Father Herbert Harry Latham MAIDEN NAME of Mother Ella Roberta Usher

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

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

Occupation of Father at Birth of child Superintendent Halifax Ship Yards Ltd. Place of birth of Father England

Race English Name and present address of Physician in attendance at birth Dr. Farrell - deceased

Signature of Applicant William Latham Address of Applicant 39 Church St. Dartmouth Date June 12, 1951

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William PhillipLatham

Born at Halifax in the County of Halifax

That William PhillipLatham Whose Birth is sought to be registered was

born at Halifax Halifax County on September 30, 1920

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

Church records - Evidence attached.

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