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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000603

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Winfred HaroldRisser Sex Male

Date of Birth July 31, 1923 Place of Birth Mahone BayCounty of Lunenburg

Name of Father Jason Oickle MAIDEN NAME of Mother Nora Oickle

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

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

Occupation of Father at Birth of child Woodsman Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Winfred Harold Risser Address of Applicant RR #1, Rose Bay, Lunenburg Co., NS Date March 1977

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Winfred HaroldRisser

Born at Mahone Bay in the County of Lunenburg

That Winfred HaroldRisser Whose Birth is sought to be registered was

born at Mahone Bay Lunenburg County on July 31, 1923

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

Copy of certificate of baptism enclosed, dated September 2 and should be 1923.

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