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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000123

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Douglas WilliamRichards Sex Male

Date of Birth October 4, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father William Joseph Richards MAIDEN NAME of Mother Annie Elizabeth Little

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Henry Street Halifax Ns Present address of Father Enfield, Halifax Co., NS

Occupation of Father at Birth of child Halifax Fire Department Place of birth of Father Chezzetcook, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Douglas W. Richards Address of Applicant 77 A Oakland Road, Halifax, NS Date 17 January 1951

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Douglas WilliamRichards

Born at Halifax in the County of Halifax

That Douglas WilliamRichards Whose Birth is sought to be registered was

born at Halifax Halifax County on October 4, 1923

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

The mother was confined and delivered by me (Dr. Gordon Wiswell) Probate Office records (Certificate from church records attached)

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