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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000554

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Winnifred MaeFarmer Sex Female

Date of Birth February 24, 1920 Place of Birth AvonportCounty of Kings

Name of Father John Farmer MAIDEN NAME of Mother Mary Stevens

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

Residence of Father when child was born Avonport, Kings Co. Present address of Father Avonport, Kings Co.

Occupation of Father at Birth of child Labourer Place of birth of Father Birchtown, Shelburne Co.

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

Signature of Applicant Winnifred Mae Farmer Address of Applicant Avonport, Kings Co. Date 9 July 1971

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Winnifred MaeFarmer

Born at Avonport in the County of Kings

That Winnifred MaeFarmer Whose Birth is sought to be registered was

born at Avonport Kings County on February 24, 1920

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

I am her mother and I know that she is the age stated above. I am 75 years old and I have lived in Avonport about 55 years ago.

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