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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000641

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Richard HarveyEttinger Sex Male

Date of Birth August 4, 1922 Place of Birth Noel RoadCounty of Hants

Name of Father Allison Ettinger MAIDEN NAME of Mother Florence O'Brien

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

Residence of Father when child was born Noel Road, Hants Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Noel, Hants

Race Name and present address of Physician in attendance at birth

Signature of Applicant Richard H. Ettinger Address of Applicant RR #6, Truro, Colchester Date 29 June 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Richard HarveyEttinger

Born at Noel Road in the County of Hants

That Richard HarveyEttinger Whose Birth is sought to be registered was

born at Noel Road Hants County on August 4, 1922

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

Marriage, school, insurance and Canada Post. Marriage shows year incorrectly as 1921

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