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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000780

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lawrence Wilfred Comstock Sex Male

Date of Birth November 5, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father John  Comstock MAIDEN NAME of Mother Agnes Bonin

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 Machinist Place of birth of Father Hantsport

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lawrence W. Comstock Address of Applicant Halifax Date January 13, 1976

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lawrence Wilfred Comstock

Born at Halifax in the County of Halifax

That Lawrence Wilfred Comstock Whose Birth is sought to be registered was

born at Halifax Halifax County on November 5, 1920

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

Baptismal - on Baptismal 1st given name is shown as Carl, but is amended to show Lawrence, school records used as evidence

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