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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000036

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Glenwood LeRoyLangille Sex Male

Date of Birth October 31, 1922 Place of Birth Indian PointCounty of Lunenburg

Name of Father Vernon Roy Langille MAIDEN NAME of Mother Flossie Victoria Hyson

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

Residence of Father when child was born Indian Point, Lunenburg Present address of Father Indian Point, Lunenburg

Occupation of Father at Birth of child Boat Builder Place of birth of Father Tancook Island, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Flossie V. Langille Address of Applicant Indian Point, Lunenburg Date 30 April 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Glenwood LeRoyLangille

Born at Indian Point in the County of Lunenburg

That Glenwood LeRoyLangille Whose Birth is sought to be registered was

born at Indian Point Lunenburg County on October 31, 1922

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

I am the mother of the said Glenwood LeRoy Langille

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