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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000161

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Omer LandsfieldFrank Sex Male

Date of Birth December 31, 1923 Place of Birth NewburnCounty of Lunenburg

Name of Father Glen Frank MAIDEN NAME of Mother Leila Mader

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

Residence of Father when child was born Newburn Lunenburg Co. Ns Present address of Father Mahone Bay, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Newburn, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Glenwood Frank Address of Applicant Mahone Bay, Lunenburg Co., NS Date 25 April 1953

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Omer LandsfieldFrank

Born at Newburn in the County of Lunenburg

That Omer LandsfieldFrank Whose Birth is sought to be registered was

born at Newburn Lunenburg County on December 31, 1923

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

I am the father; was at home at the time of birth and I tender a "certificate of Baptism" as taken from the records of the St. John in the Wilderness Church of England, at New Germany, in the County of Lunenburg.

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