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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401033

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Winnifred RoseJeffrey Sex Female

Date of Birth April 2, 1906 Place of Birth OvertonCounty of Yarmouth

Name of Father Frank Jeffrey MAIDEN NAME of Mother Charlotte Lent

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

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

Race English Name and present address of Physician in attendance at birth Dr. C.A. Webster

Signature of Applicant Frank Jeffrey Address of Applicant Overton Date 23 October 1925

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Winnifred RoseJeffrey

Born at Overton in the County of Yarmouth

That Winnifred RoseJeffrey Whose Birth is sought to be registered was

born at Overton Yarmouth County on April 2, 1906

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

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