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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000994

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of JennieWilmoth Sex Female

Date of Birth September 18, 1920 Place of Birth StellartonCounty of Pictou

Name of Father Daniel Wilmoth MAIDEN NAME of Mother Catherine  Murphy

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

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

Occupation of Father at Birth of child Miner Place of birth of Father not known

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kathleen Murphy Address of Applicant Westville Date May 22, 1979

Relationship of Applicant to child daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of JennieWilmoth

Born at Stellarton in the County of Pictou

That JennieWilmoth Whose Birth is sought to be registered was

born at Stellarton Pictou County on September 18, 1920

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

School Record National Registration Statistics Records

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