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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100031

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John thomasLangley Sex Male

Date of Birth August 4, 1923 Place of Birth Barra HeadCounty of Richmond

Name of Father Thomas Langley MAIDEN NAME of Mother  MacLean

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

Residence of Father when child was born Barra Head Richmond Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Sea Captain with Merchant Marine Place of birth of Father Barra Head, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant J. Langley Address of Applicant 966 Gulf Place, Ottawa, Ontario Date May 1988

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John thomasLangley

Born at Barra Head in the County of Richmond

That John thomasLangley Whose Birth is sought to be registered was

born at Barra Head Richmond County on August 4, 1923

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

Parish Church in St. Peters was destroyed by fire and they had all the records of birth.

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