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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200195

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon AlbertWestlake Sex Male

Date of Birth November 5, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father James Fredrick Westlake MAIDEN NAME of Mother Gertrude V Nordin

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

Residence of Father when child was born Halifax Present address of Father 51 Brunswick St.

Occupation of Father at Birth of child Fireman Place of birth of Father Dartmouth

Race Name and present address of Physician in attendance at birth Dr. Grace Rice

Signature of Applicant James F. Westlake Address of Applicant 51 Brunswick St. Date 23 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon AlbertWestlake

Born at Halifax in the County of Halifax

That Gordon AlbertWestlake Whose Birth is sought to be registered was

born at Halifax Halifax County on November 5, 1919

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

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