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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000453

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie PearlWeagle Sex

Date of Birth November 15, 1920 Place of Birth ChelseaCounty of Lunenburg

Name of Father Fred Weagle MAIDEN NAME of Mother Evelyn Robar

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

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

Occupation of Father at Birth of child Place of birth of Father Chelsea

Race Dutch Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Mrs. Vernon Wentzell Address of Applicant Dartmouth Date August 21, 1967

Relationship of Applicant to child Niece

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie PearlWeagle

Born at Chelsea in the County of Lunenburg

That Annie PearlWeagle Whose Birth is sought to be registered was

born at Chelsea Lunenburg County on November 15, 1920

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

Certificate of Baptism and marriage Record.

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