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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000313

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Russell ArthurMason Sex Male

Date of Birth March 12, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Russell Henry Mason MAIDEN NAME of Mother Mabel Gertrude Conrad

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 Canadian National Railway Employee Place of birth of Father Halifax

Race Scottish Name and present address of Physician in attendance at birth Dr. L. G. O'Shaughnessy

Signature of Applicant Mrs. Mabel G. Mason Address of Applicant 50 MacDonald St., Halifax Date 1 June 1959

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Russell ArthurMason

Born at Halifax in the County of Halifax

That Russell ArthurMason Whose Birth is sought to be registered was

born at Halifax Halifax County on March 12, 1920

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

I am the mother of Russell Arthur Mason

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