Male Birth Registration: Year: 1919 number: 64500001
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
64500001
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of SamLirette Sex Male
Date of Birth October 1, 1919 Place of Birth AmherstCounty of Cumberland
Name of Father John R Lirette MAIDEN NAME of Mother Julia S Cormis
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Amherst Present address of Father 64 Station St.
Occupation of Father at Birth of child Labourer Place of birth of Father Moncton, NB
Race Name and present address of Physician in attendance at birth Dr. Boudreau
Signature of Applicant Julia S. Lirette Address of Applicant 64 Station St., Amherst Date 12 January 1920
Relationship of Applicant to child mother
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of SamLirette
Born at Amherst in the County of Cumberland
That SamLirette Whose Birth is sought to be registered was
born at Amherst Cumberland County on October 1, 1919
My knowledge of the fact and date of such Birth is based on the following Circumstances:
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=401181
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