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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100015

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 27, 1922 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Richard Stanley Symonds MAIDEN NAME of Mother Rita Maude Parsons

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

Residence of Father when child was born Hammonds Plains, Halifax Present address of Father

Occupation of Father at Birth of child Stone Cutter Place of birth of Father Hammonds Plains, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Richard Symonds Address of Applicant 2 Limerick Road, Cowie Hill, Halifax Date 27 August 1985

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Hammonds Plains in the County of Halifax

That Richard StanleySymonds Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on January 27, 1922

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

1. Extract from family bible 2. Marriage extract

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