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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000430

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roland MartinTurple Sex Male

Date of Birth February 26, 1920 Place of Birth Noel RoadCounty of Hants

Name of Father John Joseph Turple MAIDEN NAME of Mother Florence Harvie

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

Residence of Father when child was born 5 Mile River Present address of Father

Occupation of Father at Birth of child Labourer at Lumbermill Place of birth of Father Chicago

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

Signature of Applicant Address of Applicant Date

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roland MartinTurple

Born at Noel Road in the County of Hants

That Roland MartinTurple Whose Birth is sought to be registered was

born at Noel Road Hants County on February 26, 1920

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

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