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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000238

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lena Rose Weatherby Sex Female

Date of Birth May 7, 1920 Place of Birth Ford Street, Truro, County of Colchester

Name of Father Allan Weatherby MAIDEN NAME of Mother Florence Louise McCarthy

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Truro Present address of Father Truro

Occupation of Father at Birth of child Painter Place of birth of Father Truro

Race English Name and present address of Physician in attendance at birth Dr. D.S. McCurdy, 640 Prince Street, Truro

Signature of Applicant Mary Tucker Address of Applicant 21 Victor Avenue, Toronto Date November 9, 1955

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lena Rose Weatherby

Born at Ford Street, Truro, in the County of Colchester

That Lena Rose Weatherby Whose Birth is sought to be registered was

born at Ford Street, Truro, Colchester County on May 7, 1920

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

I was at her Mother's residence where she was born. I well remember the occasion as I had a child born at the same place at about the same time. Doctor's Record, School Record.

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