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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000366

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Linda AudreyFullard Sex Female

Date of Birth September 15, 1921 Place of Birth WoodvilleCounty of Kings

Name of Father Stanley Fullard MAIDEN NAME of Mother Mabel Polson

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

Residence of Father when child was born Woodville Present address of Father 4523 Wellington St. Montreal, Quebec

Occupation of Father at Birth of child Farmer Place of birth of Father Montreal, Quebec

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

Signature of Applicant Linda Audrey Saunders Address of Applicant 571 Chomedey Blvd. Laval, Quebec Date December 5, 1966

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Linda AudreyFullard

Born at Woodville in the County of Kings

That Linda AudreyFullard Whose Birth is sought to be registered was

born at Woodville Kings County on September 15, 1921

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

I am the Father and I remember to have moved to Verdun Jost after the birth of Linda and she was baptized in Verdun

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