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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000471

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hilda EvangelineBruhm Sex Female

Date of Birth August 2, 1920 Place of Birth West NorthfieldCounty of Lunenburg

Name of Father Angus Bruhm MAIDEN NAME of Mother Alma Woodworth

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

Residence of Father when child was born West Northfield Present address of Father deceased

Occupation of Father at Birth of child Mill worker Place of birth of Father West Northfield

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

Signature of Applicant Carolyn F. Vincent Address of Applicant Halifax Date May 1, 1968

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hilda EvangelineBruhm

Born at West Northfield in the County of Lunenburg

That Hilda EvangelineBruhm Whose Birth is sought to be registered was

born at West Northfield Lunenburg County on August 2, 1920

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

Baptism Certificate.

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