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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000480

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred FlossieWile Sex Female

Date of Birth January 14, 1920 Place of Birth Lower VaughansCounty of Hants

Name of Father Ralph W. Wile MAIDEN NAME of Mother Carrie Flossie Wile

Were the Parents married at the time of the Birth?

Residence of Father when child was born Wile Settlement Present address of Father Wile Settlement

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

Race Canadian Name and present address of Physician in attendance at birth Dr. J.W. Reid, Windsor

Signature of Applicant Mrs. Mildred Flossie McCulloch Address of Applicant Newport Date September 13, 1968

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred FlossieWile

Born at Lower Vaughans in the County of Hants

That Mildred FlossieWile Whose Birth is sought to be registered was

born at Lower Vaughans Hants County on January 14, 1920

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

Family Bible

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