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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000415

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leah BerniceWard Sex Female

Date of Birth June 13, 1920 Place of Birth Advocate HarbourCounty of Cumberland

Name of Father Hugh Claremont Ward MAIDEN NAME of Mother Lettie Jean Berry

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Arlington

Race Canadian Name and present address of Physician in attendance at birth Dr. M.J. Fillmore (deceased)

Signature of Applicant Hugh Ward Address of Applicant West Advocate Date May 18, 1965

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leah BerniceWard

Born at Advocate Harbour in the County of Cumberland

That Leah BerniceWard Whose Birth is sought to be registered was

born at Advocate Harbour Cumberland County on June 13, 1920

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

School Record

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