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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000417

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lawrence RobertZwicker Sex Male

Date of Birth September 30, 1923 Place of Birth Zwickers IslandCounty of Lunenburg

Name of Father John Benjamin Zwicker MAIDEN NAME of Mother Rhoda Muriel Young

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Zwickers Island, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lawrence Robert Zwicker Address of Applicant 90 Chesley Avenue, London, Ontario Date 17 November 1971

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lawrence RobertZwicker

Born at Zwickers Island in the County of Lunenburg

That Lawrence RobertZwicker Whose Birth is sought to be registered was

born at Zwickers Island Lunenburg County on September 30, 1923

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

Certificate of Baptism recorded in the register of Baptisms kept in St. James Rectory, Mahone Bay, NS.

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