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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000462

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Inez ArvillaWeare Sex Female

Date of Birth November 18, 1920 Place of Birth WestfieldCounty of Queens

Name of Father Leigh Weare MAIDEN NAME of Mother Carrie Mansfield

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

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

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

Race Anglo-saxon Name and present address of Physician in attendance at birth Dr. Marsh

Signature of Applicant Inez Arvilla Charlton Address of Applicant Maitland Date January 15, 1968

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Inez ArvillaWeare

Born at Westfield in the County of Queens

That Inez ArvillaWeare Whose Birth is sought to be registered was

born at Westfield Queens County on November 18, 1920

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

1. Census Records 2. National Registration 3. What my parents told me

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