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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600435

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ralph GordonOrgan Sex Male

Date of Birth October 14, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Emma Organ

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Emma Prosser Address of Applicant 157 Shore Road, Sydney, Cape Breton Co., NS Date 23 June 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ralph GordonOrgan

Born at Halifax in the County of Halifax

That Ralph GordonOrgan Whose Birth is sought to be registered was

born at Halifax Halifax County on October 14, 1923

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

I am his mother. He was born in the Infants Home, Halifax, NS on the above date and all the facts as above stated are correct. I am now married but Ralph Gordon Organ was born out of wedlock.

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