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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600320

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Howard ArthurRoach Sex Male

Date of Birth December 17, 1922 Place of Birth River HebertCounty of Cumberland

Name of Father Charles William Roach MAIDEN NAME of Mother Janet Main Estabrooks

Residence of Father when child was born River Hebert, Cumberland Co., NS Present address of Father Amherst, Cumberland Co., NS

Occupation of Father at Birth of child Garage Mechanic Place of birth of Father Amherst, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Janet M. E. Roach Address of Applicant 20 Russell Street, Amherst, Cumberland Co., NS Date 18 July 1934

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Howard ArthurRoach

Born at River Hebert in the County of Cumberland

That Howard ArthurRoach Whose Birth is sought to be registered was

born at River Hebert Cumberland County on December 17, 1922

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

I am the mother of the above named Howard Arthur Roach

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