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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200212

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Franklyn BenjaminLewis Sex Male

Date of Birth November 8, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Franklyn Chester Poole Lewis MAIDEN NAME of Mother Florence May Curren

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

Residence of Father when child was born Halifax Present address of Father 10 1/2 Shirley St.

Occupation of Father at Birth of child Teamster, metal polisher Place of birth of Father Yarmouth

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

Signature of Applicant Franklyn C.P. Lewis Address of Applicant 10 1/2 Shirley St. Date 21 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Franklyn BenjaminLewis

Born at Halifax in the County of Halifax

That Franklyn BenjaminLewis Whose Birth is sought to be registered was

born at Halifax Halifax County on November 8, 1919

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

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