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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000567

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edna GoldieTompkin Sex Female

Date of Birth July 25, 1921 Place of Birth BridgewaterCounty of Lunenburg

Name of Father William Gordon Tompkin MAIDEN NAME of Mother Gertrude Oickle

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

Residence of Father when child was born St. Phillips St. Bridgewater Present address of Father 161 St. Phillips St. Bridgewater

Occupation of Father at Birth of child Butcher Place of birth of Father Hemford

Race Canadian Name and present address of Physician in attendance at birth Dr. Rafuse

Signature of Applicant Mrs. D.H. Wynacht Address of Applicant 47 Collins Dr. Copper Cliff, Ontario Date September 3, 1974

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edna GoldieTompkin

Born at Bridgewater in the County of Lunenburg

That Edna GoldieTompkin Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on July 25, 1921

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

Baptismal Certificate and extract of marriage records

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