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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000498

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lemoine EugeneSwinehammer Sex Male

Date of Birth May 21, 1920 Place of Birth Gold RiverCounty of Lunenburg

Name of Father Delbert Archibald Swinehammer MAIDEN NAME of Mother Mabel L.  Rafuse

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

Residence of Father when child was born Gold River Present address of Father Gold River

Occupation of Father at Birth of child Cooper Place of birth of Father Gold River

Race German Name and present address of Physician in attendance at birth Dr. L. Reid

Signature of Applicant G. Swinamer Address of Applicant Canadian Forces Base Halifax Date September 2, 1969

Relationship of Applicant to child brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lemoine EugeneSwinehammer

Born at Gold River in the County of Lunenburg

That Lemoine EugeneSwinehammer Whose Birth is sought to be registered was

born at Gold River Lunenburg County on May 21, 1920

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

I am a brother. The family surname has been spelled Swinamer for as long as I can remember, but the original spelling appears to have been Swinehammer.

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