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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500207

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lorimer LeonLangille Sex Male

Date of Birth December 24, 1919 Place of Birth OxfordCounty of Cumberland

Name of Father LaRoy Grant Langille MAIDEN NAME of Mother Florence Alberta O'Brien

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

Residence of Father when child was born Oxford Present address of Father

Occupation of Father at Birth of child Telegraph operator Place of birth of Father New Annan

Race Name and present address of Physician in attendance at birth Dr. O.R. Slater

Signature of Applicant LaRoy Grant Langille Address of Applicant Oxford Date 07 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lorimer LeonLangille

Born at Oxford in the County of Cumberland

That Lorimer LeonLangille Whose Birth is sought to be registered was

born at Oxford Cumberland County on December 24, 1919

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

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