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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000470

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ronald Eugene ClydeZwicker Sex Male

Date of Birth April 7, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Lorne Clyde Zwicker MAIDEN NAME of Mother Ada Westhaver

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

Residence of Father when child was born Alexandra Place Halifax Ns Present address of Father Deceased

Occupation of Father at Birth of child Stevedore Place of birth of Father Hantsport, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant R. E. Zwicker Address of Applicant RR $3, North Bay, Ontario Date 11 February 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ronald Eugene ClydeZwicker

Born at Halifax in the County of Halifax

That Ronald Eugene ClydeZwicker Whose Birth is sought to be registered was

born at Halifax Halifax County on April 7, 1923

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

My parents so informed me, but they are now deceased.

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