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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000377

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Loran MelvinCruickshank Sex Male

Date of Birth May 27, 1920 Place of Birth Lochaber MinesCounty of Halifax

Name of Father Douglas Willard Cruickshank MAIDEN NAME of Mother Orinda Bernice McDonald

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

Residence of Father when child was born Sheet Harbour Present address of Father

Occupation of Father at Birth of child Soldier, Army Place of birth of Father Sheet Harbour

Race Scottish Name and present address of Physician in attendance at birth Dr. MacMillan

Signature of Applicant Orinda Bernice Cruickshank Address of Applicant Date June 7, 1920

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Loran MelvinCruickshank

Born at Lochaber Mines in the County of Halifax

That Loran MelvinCruickshank Whose Birth is sought to be registered was

born at Lochaber Mines Halifax County on May 27, 1920

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

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