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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700203

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William LeonardPatternon Sex Male

Date of Birth October 31, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Charles A. Pattenson MAIDEN NAME of Mother Mary Margaret Sullivan

Residence of Father when child was born 279 1/2 Gottingen Street, Halifax, NS Present address of Father Deceased

Occupation of Father at Birth of child Houseman, Imperoyal, Dartmouth, NS Place of birth of Father Dartmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary M. Pattenson Address of Applicant 11 Sinclair Street, Dartmouth, NS Date 25 November 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William LeonardPatternon

Born at Halifax in the County of Halifax

That William LeonardPatternon Whose Birth is sought to be registered was

born at Halifax Halifax County on October 31, 1923

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

I am the mother of William Leonard Pattenson, thereby claim the above statemen to be true

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