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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000642

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie BerniceKnickle Sex Female

Date of Birth January 21, 1920 Place of Birth StonehurstCounty of Lunenburg

Name of Father Austin Knickle MAIDEN NAME of Mother Jessie  Tanner

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Stonehurst

Race Dutch Name and present address of Physician in attendance at birth

Signature of Applicant Priscilla Gonzalez Address of Applicant Halifax Date July 27, 1973

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie BerniceKnickle

Born at Stonehurst in the County of Lunenburg

That Jessie BerniceKnickle Whose Birth is sought to be registered was

born at Stonehurst Lunenburg County on January 21, 1920

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

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