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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600286

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lionel E.Maxwell Sex Male

Date of Birth March 24, 1921 Place of Birth The HawkCounty of Shelburne

Name of Father Hilton Paul Maxwell MAIDEN NAME of Mother Lula May Crowell

Residence of Father when child was born The Hawk, Shelburne Co., NS Present address of Father 193 Essex Street East, Lynn, Massachusetts

Occupation of Father at Birth of child Place of birth of Father The Hawk, Shelburne Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Augusta L. Smith Address of Applicant The Hawk, Shelburne Co., NS Date 11 November 1935

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lionel E.Maxwell

Born at The Hawk in the County of Shelburne

That Lionel E.Maxwell Whose Birth is sought to be registered was

born at The Hawk Shelburne County on March 24, 1921

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

Present at the time of birth

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