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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000477

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lawrence RudoulphYoung Sex Male

Date of Birth March 26, 1921 Place of Birth Phinneys CoveCounty of Annapolis

Name of Father Bernard Lawrence Young MAIDEN NAME of Mother Nema Mae Longmire

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Youngs Cove

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

Signature of Applicant Mrs. Lillian Butt Address of Applicant Bedford Date October 5, 1971

Relationship of Applicant to child Personal Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lawrence RudoulphYoung

Born at Phinneys Cove in the County of Annapolis

That Lawrence RudoulphYoung Whose Birth is sought to be registered was

born at Phinneys Cove Annapolis County on March 26, 1921

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

National Registration extract from Family Bible Baptism Discharge Certificate Marriage

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