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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000215

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wallace LloydWilson Sex Male

Date of Birth May 25, 1921 Place of Birth BerwickCounty of Kings

Name of Father Lloyd Wellington Wilson MAIDEN NAME of Mother Irene Lillian Bellamy

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

Residence of Father when child was born Berwick Present address of Father Oshawa, Ontario

Occupation of Father at Birth of child Secretary Treasurer Place of birth of Father Halifax

Race White Name and present address of Physician in attendance at birth Dr. Killam

Signature of Applicant Lloyd W. Wilson Address of Applicant Oshawa, Ontario Date November 25, 1955

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wallace LloydWilson

Born at Berwick in the County of Kings

That Wallace LloydWilson Whose Birth is sought to be registered was

born at Berwick Kings County on May 25, 1921

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

That I was present at time of birth. That family Bible has entry confirming date which was entered in full by my mother following birth Affidavit made in 1938

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