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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100348

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lorna CecilLabrador Sex Female

Date of Birth February 20, 1920 Place of Birth MiltonCounty of Queens

Name of Father Simion Archibald Labrador MAIDEN NAME of Mother Annie Merle Hartlen

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

Residence of Father when child was born Milton Present address of Father

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

Race Name and present address of Physician in attendance at birth Mrs. William Foster

Signature of Applicant Annie Merle Labrador Address of Applicant Milton Date February 24, 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lorna CecilLabrador

Born at Milton in the County of Queens

That Lorna CecilLabrador Whose Birth is sought to be registered was

born at Milton Queens County on February 20, 1920

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

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