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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91800037

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 4, 1923 Place of Birth StellartonCounty of Pictou

Name of Father John Thompson MAIDEN NAME of Mother Annie Currie

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 William A. Thompson Address of Applicant L'Ardoise, Richmond Co., NS Date 16 April 1943

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Stellarton in the County of Pictou

That William AnthonyThompson Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 4, 1923

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

According to birth certificate received from C. E. Miller, Parish Priest of Lady of Lourdes Parish, Lourdes, NS and signed by same.

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