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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000843

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Madeline EdithTurner Sex Female

Date of Birth April 21, 1920 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Whitman Turner MAIDEN NAME of Mother Grace Berlin  Burke

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

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

Occupation of Father at Birth of child Place of birth of Father Chelsea

Race Name and present address of Physician in attendance at birth

Signature of Applicant Madeline Romard Address of Applicant Coolbrook Date June 6, 1977

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Madeline EdithTurner

Born at Bridgewater in the County of Lunenburg

That Madeline EdithTurner Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on April 21, 1920

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

National Registration Records Hospital Record School Record

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