Male Birth Registration: Year: 1921 number: 99000301
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000301
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Raymond LloydEisner Sex Male
Date of Birth May 23, 1921 Place of Birth SomersetCounty of Kings
Name of Father Archie Allister Eisner MAIDEN NAME of Mother Marion Burdett Morton
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Somerset Present address of Father Berwick
Occupation of Father at Birth of child Farmer Place of birth of Father New Cornwall
Race White Name and present address of Physician in attendance at birth Dr. Paul Balcom
Signature of Applicant Archie A. Eisner Address of Applicant Berwick Date October 24, 1961
Relationship of Applicant to child Father
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Raymond LloydEisner
Born at Somerset in the County of Kings
That Raymond LloydEisner Whose Birth is sought to be registered was
born at Somerset Kings County on May 23, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
An entry in our Family Bible and Certificate of Commissioner who has examined the said entry. also I am the father of said Raymond L. Eisner and have personal knowledge of the facts and date of his birth. Also age declaration of Registered Nurse in attendance at the birth.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416694
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