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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100144

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lloyd GeorgeBeck Sex

Date of Birth July 11, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Robert Beck MAIDEN NAME of Mother Mary Ann Childs

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father

Occupation of Father at Birth of child Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Beck Address of Applicant 39 Third Street, RR #3, Sydney, Cape Breton Date 26 December 1999

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lloyd GeorgeBeck

Born at Sydney in the County of Cape Breton

That Lloyd GeorgeBeck Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 11, 1922

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

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