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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200051

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 10, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Thomas J Richardson MAIDEN NAME of Mother Ruth J Scott

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

Residence of Father when child was born Halifax Present address of Father 139 Chebucto Rd

Occupation of Father at Birth of child Carpenter Place of birth of Father Indian Harbour

Race Name and present address of Physician in attendance at birth Dr. J.A. Mader

Signature of Applicant Ruth J. Richardson Address of Applicant 139 Chebucto Rd Date 20 October 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lawrence AlbertRichardson

Born at Halifax in the County of Halifax

That Lawrence AlbertRichardson Whose Birth is sought to be registered was

born at Halifax Halifax County on October 10, 1919

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

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