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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000219

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John AlbertLawrence Sex Male

Date of Birth December 22, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Augustus Lawrence MAIDEN NAME of Mother Mary Jane Johnston

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

Residence of Father when child was born Dresden Row, Halifax Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father L'Ardoise, Richmond Co.

Race Irish Canadian Name and present address of Physician in attendance at birth Dr. Cashen, Barrington Street, Halifax

Signature of Applicant Elsie Gladys Lawrence Address of Applicant Courtney Road, Halifax Date 5 May 1954

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John AlbertLawrence

Born at Halifax in the County of Halifax

That John AlbertLawrence Whose Birth is sought to be registered was

born at Halifax Halifax County on December 22, 1920

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

Examination of the attached certificate of Baptism from St. Mary's Cathedral, showing that John albert Lawrence was born on December 252nd, 1920

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