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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000190

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph NoelPaul Sex Male

Date of Birth February 16, 1923 Place of Birth LequilleCounty of Annapolis

Name of Father Joseph Paul MAIDEN NAME of Mother Ellen Hammond

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

Residence of Father when child was born Lequille Annapolis Co. Ns Present address of Father Lequille, Annapolis Co., NS

Occupation of Father at Birth of child Carpenter Place of birth of Father Lequille, Annapolis Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph N. Paul Address of Applicant 152 Pearl Street, Gardner, Massachusetts, USA Date 22 July 1955

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph NoelPaul

Born at Lequille in the County of Annapolis

That Joseph NoelPaul Whose Birth is sought to be registered was

born at Lequille Annapolis County on February 16, 1923

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

Information received from my parents and from Church baptism records.

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