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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100017

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy Jane Snyder Sex Female

Date of Birth June 5, 1920 Place of Birth Upper BranchCounty of Lunenburg

Name of Father Clarence Snyder MAIDEN NAME of Mother Mursilla Frausel

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

Residence of Father when child was born Upper Branch Present address of Father deceased

Occupation of Father at Birth of child Lumberman Place of birth of Father Upper Branch

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Snyder Address of Applicant Oak Hill Date August 29, 1979

Relationship of Applicant to child brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy Jane Snyder

Born at Upper Branch in the County of Lunenburg

That Dorothy Jane Snyder Whose Birth is sought to be registered was

born at Upper Branch Lunenburg County on June 5, 1920

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

I am the brother of Dorothy Jane (Snyder) Meisner and I am fifteen (15) years her senior.

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