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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401239

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy AlberthaLohnes Sex Female

Date of Birth February 15, 1906 Place of Birth Upper NorthfieldCounty of Lunenburg

Name of Father James Albert Lohnes MAIDEN NAME of Mother Regina Katherine Crouse

Residence of Father when child was born Upper Northfield Present address of Father Upper Northfield

Occupation of Father at Birth of child Farmer Place of birth of Father Upper Northfield

Race German Name and present address of Physician in attendance at birth Dr. Fred Ford

Signature of Applicant Regina Lohnes Address of Applicant Upper Northfield Date 3 February 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy AlberthaLohnes

Born at Upper Northfield in the County of Lunenburg

That Dorothy AlberthaLohnes Whose Birth is sought to be registered was

born at Upper Northfield Lunenburg County on February 15, 1906

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

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