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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600766

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ona FeyMyers Sex Female

Date of Birth March 15, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father Reginald Harold Myers MAIDEN NAME of Mother Mazie Willena Young

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Grocery merchant Place of birth of Father Windsor

Race English Name and present address of Physician in attendance at birth

Signature of Applicant Mazie Willena Young Fetty Address of Applicant 816 Carolina St. Gary, Indiana, USA Date October 21, 1937

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ona FeyMyers

Born at New Glasgow in the County of Pictou

That Ona FeyMyers Whose Birth is sought to be registered was

born at New Glasgow Pictou County on March 15, 1920

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

I am her mother.

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