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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000800

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy HaroldRichards Sex Male

Date of Birth September 28, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Frederick Richards MAIDEN NAME of Mother Gertrude McGrath

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

Residence of Father when child was born Halifax Present address of Father Gottingen Street, Halifax

Occupation of Father at Birth of child Labourer Place of birth of Father Musquodoboit, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Leona Richards Address of Applicant 6261 Summit Street, Halifax Date 28 March 1980

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy HaroldRichards

Born at Halifax in the County of Halifax

That Roy HaroldRichards Whose Birth is sought to be registered was

born at Halifax Halifax County on September 28, 1922

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

Baptism certificate Extract of marriage

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