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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000845

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 15, 1921 Place of Birth GlenholmeCounty of Colchester

Name of Father Daniel Christopher Allen MAIDEN NAME of Mother Mary Ann Weatherby

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ethel Ann Allen Address of Applicant Middle Musquodoboit Date August 15, 1979

Relationship of Applicant to child wife

AFFIDAVIT

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

Born at Glenholme in the County of Colchester

That Lawrence ChristopherAllen Whose Birth is sought to be registered was

born at Glenholme Colchester County on January 15, 1921

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

School record, census

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