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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000057

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerald WilliamLangille Sex Male

Date of Birth September 15, 1922 Place of Birth StellartonCounty of Pictou

Name of Father Russell Langille MAIDEN NAME of Mother Isabell King

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

Residence of Father when child was born Stellarton, Pictou Present address of Father Chatham, Ontario

Occupation of Father at Birth of child Mechanic Place of birth of Father River John, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant G. W. Langille Address of Applicant 205 Thames Street, Chatham, Ontario Date 9 March 1948

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerald WilliamLangille

Born at Stellarton in the County of Pictou

That Gerald WilliamLangille Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 15, 1922

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

I am the mother of Gerald William Langille (signed Mrs. Isabell Langille)

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