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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000168

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Boyd LeRoyLantz Sex Male

Date of Birth February 17, 1923 Place of Birth DayspringCounty of Lunenburg

Name of Father Lloyd Sinclair Lantz MAIDEN NAME of Mother Mercy Rhodenizer

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

Residence of Father when child was born Dayspring Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Machinist Place of birth of Father Oakhill, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mercy Lantz Address of Applicant Dayspring, Lunenburg Co., NS Date 21 August 1953

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Boyd LeRoyLantz

Born at Dayspring in the County of Lunenburg

That Boyd LeRoyLantz Whose Birth is sought to be registered was

born at Dayspring Lunenburg County on February 17, 1923

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

I have a clear personal recollection of giving birth to Boyd LeRoy Lantz on February 17, 1923. His birthday was regularly celebrated on February 17th in each year and I always kept a definite remembrance of his age each year. I recall the record of the birth being entered in my father's family buible the second day after his birth when it was entered as having occurred on February 17th, 1923.

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