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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401157

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louis WalterMissions Sex Male

Date of Birth April 27, 1906 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur Missions MAIDEN NAME of Mother Christie Neiforth

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

Occupation of Father at Birth of child Coachman Place of birth of Father England

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

Signature of Applicant Louis Missions Address of Applicant Halifax Date 22 January 1926

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louis WalterMissions

Born at Halifax in the County of Halifax

That Louis WalterMissions Whose Birth is sought to be registered was

born at Halifax Halifax County on April 27, 1906

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

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