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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000486

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William ArchieCarrigan Sex Male

Date of Birth August 30, 1924 Place of Birth TruroCounty of Colchester

Name of Father Frank James Carrigan MAIDEN NAME of Mother Edith May Chapman

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

Residence of Father when child was born Truro, Colchester Co., NS Present address of Father 58 Centre Street, Truro, Colchester Co., NS

Occupation of Father at Birth of child Baker Place of birth of Father St. John's, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank J. Carrigan Address of Applicant 58 Centre Street, Truro, Colchester Co., NS Date 12 January 1976

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William ArchieCarrigan

Born at Truro in the County of Colchester

That William ArchieCarrigan Whose Birth is sought to be registered was

born at Truro Colchester County on August 30, 1924

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

1. School attendance record 2. Entry in family bible 3. I am the father of the said William Archie Carrigan

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