Male Birth Registration: Year: 1920 number: 99000537
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000537
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Warren RaymondLively Sex Male
Date of Birth December 20, 1920 Place of Birth Beaver BankCounty of Halifax
Name of Father Thomas Ira Lively MAIDEN NAME of Mother Leona Elmira Giby
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Beaver Bank Present address of Father deceased
Occupation of Father at Birth of child Labourer Place of birth of Father North Beaver Bank
Race Caucasian Name and present address of Physician in attendance at birth
Signature of Applicant Warren R. Lively Address of Applicant Whitefish, Ontario Date January 22, 1971
Relationship of Applicant to child self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Warren RaymondLively
Born at Beaver Bank in the County of Halifax
That Warren RaymondLively Whose Birth is sought to be registered was
born at Beaver Bank Halifax County on December 20, 1920
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptismal Certificate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=398221
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