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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700694

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lindsay Allen RobertLangford Sex Male

Date of Birth August 22, 1923 Place of Birth Weymouth FallsCounty of Digby

Name of Father William Walter Langford MAIDEN NAME of Mother Frances Elizabeth Jarvis

Residence of Father when child was born Weymouth Falls, Digby Co., NS Present address of Father Weymouth Falls, Digby Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Weymouth Falls, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frances E. Langford Address of Applicant Weymouth Falls, Digby Co., NS Date 18 March 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lindsay Allen RobertLangford

Born at Weymouth Falls in the County of Digby

That Lindsay Allen RobertLangford Whose Birth is sought to be registered was

born at Weymouth Falls Digby County on August 22, 1923

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

I am the mother of the said Lindsay A. R. Langford

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