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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000777

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 19, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father William Arthur Risser MAIDEN NAME of Mother Margaret Martin

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles M. Risser Address of Applicant Timberlea Date November 14, 1978

Relationship of Applicant to child Brother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Arthur PatrickRisser Whose Birth is sought to be registered was

born at Halifax Halifax County on November 19, 1921

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

Certificate of Baptism

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