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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100106

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie GraceJoudrey Sex

Date of Birth May 29, 1920 Place of Birth Upper NorthfieldCounty of Lunenburg

Name of Father Arthur Wilfred  Joudrey MAIDEN NAME of Mother Mary Laura Ramey

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

Residence of Father when child was born Upper New Cornwall Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Upper New Cornwall

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Grace Lantz Address of Applicant R.R. #3, Mahone Bay Date February 12, 1981

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie GraceJoudrey

Born at Upper Northfield in the County of Lunenburg

That Annie GraceJoudrey Whose Birth is sought to be registered was

born at Upper Northfield Lunenburg County on May 29, 1920

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

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