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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602263

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gordon RitchieSymonds Sex Male

Date of Birth January 6, 1906 Place of Birth Lake DarlingCounty of Yarmouth

Name of Father Fred Symonds MAIDEN NAME of Mother Lottie Earl

Residence of Father when child was born Lake Darling Present address of Father Yarmouth

Occupation of Father at Birth of child Merchant Place of birth of Father Lake Darling

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

Signature of Applicant Fred Symonds Address of Applicant Yarmouth Date 5 April 1926

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gordon RitchieSymonds

Born at Lake Darling in the County of Yarmouth

That Gordon RitchieSymonds Whose Birth is sought to be registered was

born at Lake Darling Yarmouth County on January 6, 1906

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

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