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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000633

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice KathleenPeach Sex

Date of Birth March 7, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father William Peach MAIDEN NAME of Mother Maude Westhaver

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Liverpool

Race Caucasian Name and present address of Physician in attendance at birth Unknown - possibly Dr. Jordan Smith or Dr. Hennigar, both Deceased

Signature of Applicant Alice Kathleen Peach Allen Address of Applicant Liverpool Date Blank

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice KathleenPeach

Born at Liverpool in the County of Queens

That Alice KathleenPeach Whose Birth is sought to be registered was

born at Liverpool Queens County on March 7, 1920

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

I was told repeatedly by my deceased parents that I was born at Liverpool on the 7th day of March 1920 and their calculations of my age were always consistent with that date, which is also consistent with my baptismal certificate.

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