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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90500490

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William Raymond MatthewLynch Sex Male

Date of Birth November 29, 1921 Place of Birth WoodsideCounty of Halifax

Name of Father John Matthew Lynch MAIDEN NAME of Mother Hilda Blank

Residence of Father when child was born Sable Island Present address of Father McNabs Island

Occupation of Father at Birth of child Life Guard Place of birth of Father Fergusons Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hilda Lynch Address of Applicant McNabs Island Date 24 August 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William Raymond MatthewLynch

Born at Woodside in the County of Halifax

That William Raymond MatthewLynch Whose Birth is sought to be registered was

born at Woodside Halifax County on November 29, 1921

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

That I am the Mother of William Raymond Matthew Lynch.

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