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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000063

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen GraceNaugler Sex Female

Date of Birth February 20, 1921 Place of Birth CamperdownCounty of Lunenburg

Name of Father Fred Solomon Naugler MAIDEN NAME of Mother Jennie Belle Stewart

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

Residence of Father when child was born Camperdown Present address of Father Italy Cross

Occupation of Father at Birth of child Farmer Place of birth of Father Conquerall Mills

Race White Name and present address of Physician in attendance at birth midwife

Signature of Applicant Mrs. Jennie Naugler Address of Applicant Italy Cross Date October 25, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen GraceNaugler

Born at Camperdown in the County of Lunenburg

That Kathleen GraceNaugler Whose Birth is sought to be registered was

born at Camperdown Lunenburg County on February 20, 1921

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

that Kathleen Grace Naugler is my Daughter.

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