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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800193

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lauchlan MacKayFredericks Sex Male

Date of Birth May 14, 1923 Place of Birth WoodsideCounty of Halifax

Name of Father Adelbert Thomas Fredericks MAIDEN NAME of Mother Geraldine R. MacKay

Residence of Father when child was born Woodside, Halifax Co., NS Present address of Father Woodside, Halifax Co., NS

Occupation of Father at Birth of child Mechanic Place of birth of Father East Jordan, Shelburne Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Adelbert T. Fredericks Address of Applicant Woodside, Halifax Co., NS Date 28 August 1944

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lauchlan MacKayFredericks

Born at Woodside in the County of Halifax

That Lauchlan MacKayFredericks Whose Birth is sought to be registered was

born at Woodside Halifax County on May 14, 1923

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

I am his father and was at home at the time.

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