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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000246

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Tilman LawrenceMelanson Sex Male

Date of Birth March 6, 1924 Place of Birth RockinghamCounty of Halifax

Name of Father Joseph Allan Melanson MAIDEN NAME of Mother Helen Bourque

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

Residence of Father when child was born Rockingham, Halifax, NS Present address of Father 33 Popular Street, Memramcook, New Brunswick

Occupation of Father at Birth of child Canadian National Railway Place of birth of Father New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Tilman Lawrence Melanson Address of Applicant 1350 Birmingham Street, Halifax, NS Date 28 February 1962

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Tilman LawrenceMelanson

Born at Rockingham in the County of Halifax

That Tilman LawrenceMelanson Whose Birth is sought to be registered was

born at Rockingham Halifax County on March 6, 1924

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

Certificate of baptism Marriage extract

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