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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000411

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen Olive Peverill Sex Female

Date of Birth April 16, 1920 Place of Birth SackvilleCounty of Halifax

Name of Father John Venn Peverill MAIDEN NAME of Mother Laura Jane Gilbert

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

Residence of Father when child was born Sackville Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Sackville

Race English Name and present address of Physician in attendance at birth A.D. Morton

Signature of Applicant Pearl Raynor Address of Applicant Lower Sackville Date March 21, 1965

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen Olive Peverill

Born at Sackville in the County of Halifax

That Helen Olive Peverill Whose Birth is sought to be registered was

born at Sackville Halifax County on April 16, 1920

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

I am her sister. Baptism certificate.

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