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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000553

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 30, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Gordon Lusher MAIDEN NAME of Mother Dorothy Cleveland

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Halifax

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

Signature of Applicant Mrs. Dorothy Conrad Address of Applicant Hatchet Lake Date July 4, 1974

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Dorothy SadieLusher Whose Birth is sought to be registered was

born at Halifax Halifax County on October 30, 1921

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

Baptismal Certificate

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