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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100323

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Laura ElizabethStone Sex Female

Date of Birth October 5, 1920 Place of Birth St. PetersCounty of Richmond

Name of Father John L.  Stone MAIDEN NAME of Mother Mary Jane Gracie

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

Residence of Father when child was born Lynch's River Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Lynch's River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Laura Morrison Address of Applicant St. Peters Date March 18, 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Laura ElizabethStone

Born at St. Peters in the County of Richmond

That Laura ElizabethStone Whose Birth is sought to be registered was

born at St. Peters Richmond County on October 5, 1920

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

Baptismal

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