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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000685

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivian MaeFreeman Sex Female

Date of Birth September 27, 1920 Place of Birth Maitland BridgeCounty of Annapolis

Name of Father William Henery Freeman MAIDEN NAME of Mother Ada Robilee Thompson

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

Residence of Father when child was born Maitland Bridge Present address of Father Dead

Occupation of Father at Birth of child Farmer Place of birth of Father Maitland Bridge

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

Signature of Applicant Vivian Goldsmith Address of Applicant Annapolis Royal Date June 15, 1974

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivian MaeFreeman

Born at Maitland Bridge in the County of Annapolis

That Vivian MaeFreeman Whose Birth is sought to be registered was

born at Maitland Bridge Annapolis County on September 27, 1920

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

On the record in the Family Bible kept by my mother and father, and from what my oldest brother has told me.

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