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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000561

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur FrankConrad Sex Male

Date of Birth May 22, 1921 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Frank Lee Conrad MAIDEN NAME of Mother Minnie Alice Cook

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

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

Occupation of Father at Birth of child Moulder at Acadia Gas Engines Ltd. Place of birth of Father Oakhill

Race Canadian Name and present address of Physician in attendance at birth Dr. Frank Davis

Signature of Applicant A.F. Conrad Address of Applicant 112 Sherwood Dr. Ottawa, Ontario Date July 16, 1974

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur FrankConrad

Born at Bridgewater in the County of Lunenburg

That Arthur FrankConrad Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on May 22, 1921

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

I am the Mother of the Applicant.

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