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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100153

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie HelenViner Sex Female

Date of Birth February 4, 1920 Place of Birth CentrevilleCounty of Kings

Name of Father William Viner MAIDEN NAME of Mother Georgia Landsay

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

Residence of Father when child was born not listed Present address of Father deceased

Occupation of Father at Birth of child not listed Place of birth of Father not listed

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marjorie Helen Viner Address of Applicant RR #5, Canning, Kings Co. Date 23 January 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie HelenViner

Born at Centreville in the County of Kings

That Marjorie HelenViner Whose Birth is sought to be registered was

born at Centreville Kings County on February 4, 1920

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

School records & 1921-1941 census records

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