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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200298

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy EdwardPatterson Sex Male

Date of Birth November 25, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father William Leslie Patterson MAIDEN NAME of Mother Gwendolyn Gammon

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

Residence of Father when child was born Halifax Present address of Father 126 1/2 Quinpool Rd.

Occupation of Father at Birth of child Trainman Place of birth of Father Sackville, NB

Race Name and present address of Physician in attendance at birth Dr. C.S. Morton

Signature of Applicant William Leslie Patterson Address of Applicant 126 1/2 Quinpool Rd. Date 01 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy EdwardPatterson

Born at Halifax in the County of Halifax

That Roy EdwardPatterson Whose Birth is sought to be registered was

born at Halifax Halifax County on November 25, 1919

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

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