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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000268

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lester RoyNaugle Sex Male

Date of Birth February 8, 1921 Place of Birth ImperoyalCounty of Halifax

Name of Father Freeman John Naugle MAIDEN NAME of Mother Annastatia Horne

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

Residence of Father when child was born Imperoyal Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Eastern Passage

Race Dutch Name and present address of Physician in attendance at birth deceased

Signature of Applicant Grace Edna Naugle Address of Applicant 21 McKenzie St. Imperoyal Date February 25, 1959

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lester RoyNaugle

Born at Imperoyal in the County of Halifax

That Lester RoyNaugle Whose Birth is sought to be registered was

born at Imperoyal Halifax County on February 8, 1921

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

Inside cover of a Daily Statement Book also Census Report

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