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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000335

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Herman EdwardRisser Sex Male

Date of Birth September 6, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur Risser MAIDEN NAME of Mother Margaret Martin

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

Residence of Father when child was born Cunard Street Halifax Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Lunenburg, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant H. E. Risser Address of Applicant 14408 - 65th Street, Edmonton, Alberta Date 24 March 1968

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Herman EdwardRisser

Born at Halifax in the County of Halifax

That Herman EdwardRisser Whose Birth is sought to be registered was

born at Halifax Halifax County on September 6, 1923

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

Certificate of Baptism

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