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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501887

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Walter JamesLarkin Sex Male

Date of Birth November 9, 1906 Place of Birth East PubnicoCounty of Yarmouth

Name of Father Frank Larkin MAIDEN NAME of Mother Gertrude Larkin

Residence of Father when child was born East Pubnico Present address of Father East Pubnico

Occupation of Father at Birth of child Fisherman Place of birth of Father East Pubnico

Race English Name and present address of Physician in attendance at birth Charles J. Fox

Signature of Applicant Gertrude Larkin Address of Applicant Pubnico Date 16 March 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Walter JamesLarkin

Born at East Pubnico in the County of Yarmouth

That Walter JamesLarkin Whose Birth is sought to be registered was

born at East Pubnico Yarmouth County on November 9, 1906

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

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