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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500188

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph Emanuel ArthurRichard Sex Male

Date of Birth December 23, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Arthur Richard MAIDEN NAME of Mother Ida Firette

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

Residence of Father when child was born Amherst Present address of Father 3 Crescent St.

Occupation of Father at Birth of child Bolt maker Place of birth of Father Grand Digue, NB

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

Signature of Applicant Ida Richard Address of Applicant 3 Crescent 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 Joseph Emanuel ArthurRichard

Born at Amherst in the County of Cumberland

That Joseph Emanuel ArthurRichard Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 23, 1919

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

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