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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000173

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bertram EllisLangley Sex Male

Date of Birth July 4, 1920 Place of Birth Port HawkesburyCounty of Inverness

Name of Father Arthur John Langley MAIDEN NAME of Mother Alexandra M. Jameson

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

Residence of Father when child was born Port Hawkesbury Present address of Father Port Hawkesbury

Occupation of Father at Birth of child C.N.R. Diver Place of birth of Father Point Tupper

Race Canadian Name and present address of Physician in attendance at birth Dr. J.R. MacLeod (deceased)

Signature of Applicant Alexandra M. Langley Address of Applicant Port Hawkesbury Date March 7, 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bertram EllisLangley

Born at Port Hawkesbury in the County of Inverness

That Bertram EllisLangley Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on July 4, 1920

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

That I am his mother

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