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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000762

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Malcolm C. RichardMeisner Sex Male

Date of Birth May 4, 1923 Place of Birth Fox PointCounty of Lunenburg

Name of Father Reginald Arthur Meisner MAIDEN NAME of Mother Nellie Sophia Coolen

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

Residence of Father when child was born Fox Point Lunenburg Co. Ns Present address of Father Fox Point, Lunenburg Co., NS

Occupation of Father at Birth of child Place of birth of Father Ingramport, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Nellie Meisner Address of Applicant Fox Point, Lunenburg Co., NS Date 16 May 1923

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Malcolm C. RichardMeisner

Born at Fox Point in the County of Lunenburg

That Malcolm C. RichardMeisner Whose Birth is sought to be registered was

born at Fox Point Lunenburg County on May 4, 1923

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

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