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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000300

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 21, 1920 Place of Birth Albro LakeCounty of Halifax

Name of Father John William Burns MAIDEN NAME of Mother Margurita May Langille

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

Residence of Father when child was born Albro Lake, Halifax Present address of Father deceased

Occupation of Father at Birth of child Seaman Place of birth of Father Lunenburg

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Lewis Edward Burns Address of Applicant 36 Jackson Road, Albro Lake, Halifax Co. Date 9 January 1959

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lewis EdwardBurns

Born at Albro Lake in the County of Halifax

That Lewis EdwardBurns Whose Birth is sought to be registered was

born at Albro Lake Halifax County on January 21, 1920

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

Marriage record. School records.

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