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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000310

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Adeline GeorginaWeeks Sex Female

Date of Birth July 9, 1920 Place of Birth ThompsonCounty of Cumberland

Name of Father Ira Elroy Weeks MAIDEN NAME of Mother Mabel Gertrude McCulloch

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

Residence of Father when child was born Thompson, Cumberland Co. Present address of Father Truro, Colchester Co.

Occupation of Father at Birth of child Lumberman Place of birth of Father Amherst, Cumberland Co.

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

Signature of Applicant Adeline G. Smith Address of Applicant Elliot Lake, Ontario Date 19 May 1959

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Adeline GeorginaWeeks

Born at Thompson in the County of Cumberland

That Adeline GeorginaWeeks Whose Birth is sought to be registered was

born at Thompson Cumberland County on July 9, 1920

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

Information received from my parents, public school records and the 1921 census record.

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