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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000241

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lloyd IrvingHatt Sex Male

Date of Birth July 1, 1923 Place of Birth Forest GladeCounty of Annapolis

Name of Father Merville Hatt MAIDEN NAME of Mother Annie May Fisher

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

Residence of Father when child was born Forest Glade Annapolis Co. Ns Present address of Father Margaretsville, Annapolis Co., NS

Occupation of Father at Birth of child Cooper & Farming Place of birth of Father Chester Basin, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie M. Hatt Address of Applicant Margaretsville, Annapolis Co., NS Date 2 January 1959

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lloyd IrvingHatt

Born at Forest Glade in the County of Annapolis

That Lloyd IrvingHatt Whose Birth is sought to be registered was

born at Forest Glade Annapolis County on July 1, 1923

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

I am his mother Family bible Army & National Registration certificate

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