Male Birth Registration: Year: 1923 number: 99000684
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000684
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Lawrence BraineBerry Sex Male
Date of Birth January 3, 1923 Place of Birth Smiths CoveCounty of Digby
Name of Father William Howard Berry MAIDEN NAME of Mother Euta Viola Simmons
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Smiths Cove Digby Co. Ns Present address of Father Deceased
Occupation of Father at Birth of child Section Foreman with Dominion Atlantic Railway Place of birth of Father Clementsvale, Annapolis Co., NS
Race Name and present address of Physician in attendance at birth
Signature of Applicant Lawrence Berry Address of Applicant Smiths Cove, Digby Co., NS Date 25 November 1978
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Lawrence BraineBerry
Born at Smiths Cove in the County of Digby
That Lawrence BraineBerry Whose Birth is sought to be registered was
born at Smiths Cove Digby County on January 3, 1923
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Information given by my mother with whom I reside.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=446112
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