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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000412

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Erma MayRisser Sex Female

Date of Birth January 25, 1921 Place of Birth West DublinCounty of Lunenburg

Name of Father Percy Risser MAIDEN NAME of Mother Addie Bushen

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

Residence of Father when child was born West Dublin Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father West Dublin

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. Cameron

Signature of Applicant Erma May Nelson Address of Applicant 342 Britannia St. Stratford, Ontario Date June 27, 1969

Relationship of Applicant to child Applicant is the child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Erma MayRisser

Born at West Dublin in the County of Lunenburg

That Erma MayRisser Whose Birth is sought to be registered was

born at West Dublin Lunenburg County on January 25, 1921

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

I have corresponded with the Church in which I was christened and attach hereto a record of same. Also, my parents when alive advised me of my birth date.

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