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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000012

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy JosephRichardson Sex Male

Date of Birth January 17, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Claude Richardson MAIDEN NAME of Mother Alice Brown

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

Residence of Father when child was born Halifax, NS Present address of Father Deceased

Occupation of Father at Birth of child Grocer Place of birth of Father London, England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Allice Richardson Address of Applicant 156 Beech Street, Halifax, NS Date 25 May 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy JosephRichardson

Born at Halifax in the County of Halifax

That Roy JosephRichardson Whose Birth is sought to be registered was

born at Halifax Halifax County on January 17, 1924

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

I am his mother

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