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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000839

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lloyd EdwardHebb Sex Male

Date of Birth July 3, 1921 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Edward Eligah Hebb MAIDEN NAME of Mother Alice Vera Wambolt

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lloyd Edward Hebb Address of Applicant RR4 Bridgewater Date April 6, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lloyd EdwardHebb

Born at Bridgewater in the County of Lunenburg

That Lloyd EdwardHebb Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on July 3, 1921

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

From my Father that lives Edward Eligah Hebb RR4 Bridgewater Hebbville, Lun. N.S. B4V2W3

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