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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000141

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Russell FreemanBishop Sex Male

Date of Birth June 6, 1921 Place of Birth LawrencetownCounty of Annapolis

Name of Father F. Clyde Bishop MAIDEN NAME of Mother Effie McCoy Potter

Were the Parents married at the time of the Birth? Yes

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

Occupation of Father at Birth of child Farmer Place of birth of Father Lawrencetown

Race British Name and present address of Physician in attendance at birth Dr. F.S. Messenger

Signature of Applicant R.F. Bishop Address of Applicant 17 Central Ave. Hamilton, Ontario Date July 25, 1951

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Russell FreemanBishop

Born at Lawrencetown in the County of Annapolis

That Russell FreemanBishop Whose Birth is sought to be registered was

born at Lawrencetown Annapolis County on June 6, 1921

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

I am the Father of the applicant (I add to the above my evidence, Effie M. Bishop, mother) signature

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