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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000628

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elvona MariePalmer Sex Female

Date of Birth September 11, 1921 Place of Birth Owls Head HarbourCounty of Halifax

Name of Father John Palmer MAIDEN NAME of Mother Etta Weeks

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

Residence of Father when child was born Owls Head Present address of Father deceased

Occupation of Father at Birth of child Light House Keeper Place of birth of Father Owls Head

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vernon Elmer Stevens Address of Applicant 76 Rufus Ave. Halifax Date April 16, 1976

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elvona MariePalmer

Born at Owls Head Harbour in the County of Halifax

That Elvona MariePalmer Whose Birth is sought to be registered was

born at Owls Head Harbour Halifax County on September 11, 1921

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

School Extract Marriage Extract

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