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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000375

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of InezWilson Sex

Date of Birth April 15, 1920 Place of Birth Gold RiverCounty of Lunenburg

Name of Father William  Wilson MAIDEN NAME of Mother Mable Halt (Hatt)

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

Residence of Father when child was born Gold River Present address of Father deceased

Occupation of Father at Birth of child Lumberman Place of birth of Father Bar Harbour, Maine

Race White Name and present address of Physician in attendance at birth None

Signature of Applicant Inez Perry Address of Applicant 13 Remsen St., Cohes, N York, USA Date March 4, 1963

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of InezWilson

Born at Gold River in the County of Lunenburg

That InezWilson Whose Birth is sought to be registered was

born at Gold River Lunenburg County on April 15, 1920

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

Baptism Certificate from St. Joseph Church, Bridgewater.

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