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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500095

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Natalie ElenaSears Sex Female

Date of Birth November 27, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Frei Wymond Sears MAIDEN NAME of Mother Bessie Maud Richardson

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

Residence of Father when child was born Amherst Present address of Father 38 Lawrence St.

Occupation of Father at Birth of child Telegraph operator Place of birth of Father Midgie Station, NB

Race Name and present address of Physician in attendance at birth Dr. Boudreau

Signature of Applicant Frei Wymond Sears Address of Applicant 38 Lawrence St., Amherst Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Natalie ElenaSears

Born at Amherst in the County of Cumberland

That Natalie ElenaSears Whose Birth is sought to be registered was

born at Amherst Cumberland County on November 27, 1919

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

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