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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000403

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carrie EllenZwicker Sex Female

Date of Birth August 28, 1920 Place of Birth WilevilleCounty of Lunenburg

Name of Father Elam Alonzo Zwicker MAIDEN NAME of Mother Lydia Adelia Weagle

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

Residence of Father when child was born Wileville, Lunenburg Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Farmville, Lunenburg Co.

Race German Dutch Name and present address of Physician in attendance at birth Dr. Stewart

Signature of Applicant Carrie Ellen Selig Address of Applicant RR #5, Bridgewater, Lunenburg Co. Date 12 August 1964

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carrie EllenZwicker

Born at Wileville in the County of Lunenburg

That Carrie EllenZwicker Whose Birth is sought to be registered was

born at Wileville Lunenburg County on August 28, 1920

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

Information given me by my mother who is still living

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