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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000632

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Violet MarthaWeagle Sex Female

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

Name of Father Daniel Naaman Weagle MAIDEN NAME of Mother Susie Blanche Hebb

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

Residence of Father when child was born Waterloo Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Italy Cross

Race Name and present address of Physician in attendance at birth

Signature of Applicant Violet Martha Herman Address of Applicant RR6 Bridgewater Date April 22, 1976

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Violet MarthaWeagle

Born at Waterloo in the County of Lunenburg

That Violet MarthaWeagle Whose Birth is sought to be registered was

born at Waterloo Lunenburg County on July 25, 1921

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

Certificate of Baptism Family Record on leaf of Family Bible

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