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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000303

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of LaurieThompson Sex Male

Date of Birth April 15, 1921 Place of Birth OxfordCounty of Cumberland

Name of Father Clarence Thompson MAIDEN NAME of Mother Dora  Horton

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

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

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

Race Caucasian Name and present address of Physician in attendance at birth

Signature of Applicant Reg C. Purdy Address of Applicant Box 82, Amherst Date July 12, 1960

Relationship of Applicant to child Director Childrens Aid Society

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of LaurieThompson

Born at Oxford in the County of Cumberland

That LaurieThompson Whose Birth is sought to be registered was

born at Oxford Cumberland County on April 15, 1921

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

1 Enclosed excerpt of court evidence 2 Copy of Order of Delivery to a Childrens Aid Society 3 Interpretation contained in attached letter

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