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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000602

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine JaneHopper Sex

Date of Birth November 25, 1920 Place of Birth Truro County of Colchester

Name of Father Wallace Nesbitt Hopper MAIDEN NAME of Mother Catherine Maud Publicover

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

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

Occupation of Father at Birth of child Bank Clerk Place of birth of Father Truro

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. MacKenzie

Signature of Applicant Catherine Jane Copeland Address of Applicant Kentville Date June 29, 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine JaneHopper

Born at Truro in the County of Colchester

That Catherine JaneHopper Whose Birth is sought to be registered was

born at Truro Colchester County on November 25, 1920

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

Family Bible in Mother's handwriting and I have always celebrated my birthday on November 25th and understand that I was born in 1920.

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