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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500014

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ross AndersonLockwood Sex Male

Date of Birth October 15, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Arthur Mossman Lockwood MAIDEN NAME of Mother Jessie May Caldwell

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

Residence of Father when child was born Amherst Present address of Father 11 Academy St.

Occupation of Father at Birth of child Carriage builder Place of birth of Father Nova Scotia

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

Signature of Applicant Arthur Mossman Lockwood Address of Applicant 11 Academy St. Date 05 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ross AndersonLockwood

Born at Amherst in the County of Cumberland

That Ross AndersonLockwood Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 15, 1919

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

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