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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000381

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph WeldonLatta Sex Male

Date of Birth January 11, 1922 Place of Birth Pugwash JunctionCounty of Cumberland

Name of Father Amos Clarence Latta MAIDEN NAME of Mother Myrtle Isadora Teed

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

Residence of Father when child was born Pugwash Junction, Cumberland Present address of Father Deceased

Occupation of Father at Birth of child Sawyer Place of birth of Father Pugwash Junction, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Myrtle Latta Address of Applicant Malagash, Cumberland Date 12 January 1970

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph WeldonLatta

Born at Pugwash Junction in the County of Cumberland

That Joseph WeldonLatta Whose Birth is sought to be registered was

born at Pugwash Junction Cumberland County on January 11, 1922

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

I am his mother and the information was taken from family record and school register.

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