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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401324

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lemuel Percy UriahDecker Sex Male

Date of Birth July 18, 1906 Place of Birth Jordan FerryCounty of Shelburne

Name of Father Howard Decker MAIDEN NAME of Mother Genevra Firth

Residence of Father when child was born Jordan Ferry Present address of Father Jordan Ferry

Occupation of Father at Birth of child Farmer and Fisherman Place of birth of Father Jordan Ferry

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

Signature of Applicant Howard Decker Address of Applicant Jordan Ferry Date 10 February 1926

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lemuel Percy UriahDecker

Born at Jordan Ferry in the County of Shelburne

That Lemuel Percy UriahDecker Whose Birth is sought to be registered was

born at Jordan Ferry Shelburne County on July 18, 1906

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

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