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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100354

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leslie ElmontDorrington Sex Male

Date of Birth October 6, 1920 Place of Birth BeechvilleCounty of Halifax

Name of Father Joseph  Dorrington MAIDEN NAME of Mother Dorothy Hill

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

Residence of Father when child was born Beechville Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father Antigonish County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Dorrington Address of Applicant Beechville Date October 11, 1985

Relationship of Applicant to child wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leslie ElmontDorrington

Born at Beechville in the County of Halifax

That Leslie ElmontDorrington Whose Birth is sought to be registered was

born at Beechville Halifax County on October 6, 1920

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

1. Census 2. Marriage extract 3. School Record

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