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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000499

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Malcolm HughLandry Sex Male

Date of Birth September 11, 1923 Place of Birth AntigonishCounty of Antigonish

Name of Father William Edward Landry MAIDEN NAME of Mother Margaret Fraser

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

Residence of Father when child was born Antigonish Ns Present address of Father Deceased

Occupation of Father at Birth of child Contractor Place of birth of Father Antigonish, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. H. Landry Address of Applicant 1142 Marentette Avenue, Windsor, Ontario Date 16 October 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Malcolm HughLandry

Born at Antigonish in the County of Antigonish

That Malcolm HughLandry Whose Birth is sought to be registered was

born at Antigonish Antigonish County on September 11, 1923

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

Information received from parents Baptism certificate

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