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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100265

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel GenevaEisnor Sex Female

Date of Birth December 8, 1920 Place of Birth Upper BranchCounty of Lunenburg

Name of Father Everett Eisenor MAIDEN NAME of Mother  Daniels

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

Residence of Father when child was born Upper Branch, Lunenburg Co. Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hazel Geneva Aulenback Address of Applicant Bridgewater Date 9 July 1984

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel GenevaEisnor

Born at Upper Branch in the County of Lunenburg

That Hazel GenevaEisnor Whose Birth is sought to be registered was

born at Upper Branch Lunenburg County on December 8, 1920

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

church and census records

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