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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000962

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lois EthelLangille Sex Female

Date of Birth September 22, 1920 Place of Birth River JohnCounty of Pictou

Name of Father Robin Elmo Langille MAIDEN NAME of Mother  Weir

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

Residence of Father when child was born River John Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father River John

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lois Battist Address of Applicant Pictou Date February 19, 1979

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lois EthelLangille

Born at River John in the County of Pictou

That Lois EthelLangille Whose Birth is sought to be registered was

born at River John Pictou County on September 22, 1920

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

Baptism Certificate at the Methodist Church, River John. I have lived on the knowledge passed on from other older family members that I was born on the above date at River John

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