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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100141

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold WilfredEichel Sex Male

Date of Birth July 31, 1921 Place of Birth Mahone BayCounty of Lunenburg

Name of Father Jason Wilfred Eichel MAIDEN NAME of Mother Elnora Oickle

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

Residence of Father when child was born Mahone Bay Present address of Father deceased

Occupation of Father at Birth of child Woodsman Teamster Place of birth of Father Pine Grove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Winifred Risser Address of Applicant Riverport Date 17 December 1985

Relationship of Applicant to child Applicant is the son of the party

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold WilfredEichel

Born at Mahone Bay in the County of Lunenburg

That Harold WilfredEichel Whose Birth is sought to be registered was

born at Mahone Bay Lunenburg County on July 31, 1921

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

Baptism Certificate

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