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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000977

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Donald Francis HarveyLangille Sex Male

Date of Birth December 5, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Harry Harvey Langille MAIDEN NAME of Mother Hilda Frances Bayers

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Tancook Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Donald F. Langille Address of Applicant 64 Clayton Park Dr. Halifax Date September 18, 1992

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Donald Francis HarveyLangille

Born at Halifax in the County of Halifax

That Donald Francis HarveyLangille Whose Birth is sought to be registered was

born at Halifax Halifax County on December 5, 1924

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

Baptism and marriage

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