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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600962

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thomas AllanLisson Sex Male

Date of Birth July 23, 1923 Place of Birth 54 Johnstone Avenue, DartmouthCounty of Halifax

Name of Father Richard Warnford Lisson MAIDEN NAME of Mother Rita Muriel Fader

Residence of Father when child was born 54 Johnstone Avenue, Dartmouth, Halifax Co., NS Present address of Father 54 Johnstone Avenue, Dartmouth, Halifax Co., NS

Occupation of Father at Birth of child Pumpman at Imperial Oil Co., Ltd. Place of birth of Father Sussex, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant R. W. Lisson Address of Applicant 54 Johnstone Avenue, Dartmouth, Halifax Co., NS Date 25 January 1943

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thomas AllanLisson

Born at 54 Johnstone Avenue, Dartmouth in the County of Halifax

That Thomas AllanLisson Whose Birth is sought to be registered was

born at 54 Johnstone Avenue, Dartmouth Halifax County on July 23, 1923

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

I being the father of Thomas Allan Kisson was present at time of birth

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