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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000801

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Della BerniceWest Sex Female

Date of Birth September 13, 1920 Place of Birth West BrooklynCounty of Hants

Name of Father Horace West MAIDEN NAME of Mother Cora Burgher

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

Residence of Father when child was born West Brooklyn, Hants Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Grafton, Kings Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant Della B. Purdy Address of Applicant 41 Donald Avenue, Amherst, Cumberland Co. Date 22 September 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Della BerniceWest

Born at West Brooklyn in the County of Hants

That Della BerniceWest Whose Birth is sought to be registered was

born at West Brooklyn Hants County on September 13, 1920

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

I am her mother and we kept accurate records in our family bible.

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