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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000396

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 18, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father Frank Ripley MAIDEN NAME of Mother Mary Gertrude Dunn

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

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

Occupation of Father at Birth of child Moulder (at foundry) Place of birth of Father Maccan, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lawrence Robert Ripley Address of Applicant 6 Regent Street, Amherst, Cumberland Date 8 October 1970

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Lawrence RobertRipley Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 18, 1922

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

I called Dr. Boudreau who was our Doctor at the time of Roberts birth but was unable to get him. Then called Dr. MacIntosh who then attended the birth of the above.

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