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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100217

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Medley CarsonVarner Sex Male

Date of Birth April 3, 1920 Place of Birth Diligent RiverCounty of Cumberland

Name of Father George Thelbert Varner MAIDEN NAME of Mother Leah Mabel

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

Residence of Father when child was born Glasgow Mountain, Cumberland Co. Present address of Father Diligent River, Cumberland Co.

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Charlotte Roberts Address of Applicant 25 Titus Street, Apt 5, Halifax Date 31 August 1983

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Medley CarsonVarner

Born at Diligent River in the County of Cumberland

That Medley CarsonVarner Whose Birth is sought to be registered was

born at Diligent River Cumberland County on April 3, 1920

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

1. Baptismal 2. Marriage extract

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