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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000646

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Leona MarionGeorge Sex Female

Date of Birth September 22, 1921 Place of Birth Lambs PointCounty of Guysborough

Name of Father John Havelock George MAIDEN NAME of Mother Eliza Jane George

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

Residence of Father when child was born Lambs Point Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Lambs Point

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Leona Duncan Address of Applicant Trepassey, Newfoundland Date August 13, 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Leona MarionGeorge

Born at Lambs Point in the County of Guysborough

That Leona MarionGeorge Whose Birth is sought to be registered was

born at Lambs Point Guysborough County on September 22, 1921

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

I was always told by my parents that I was born on September 22, 1921 at Lambs Point, Guysborough County, where we lived when I can first remember. This information is verified by the Certificate of Baptism attached hereto, and marked Exhibit "A".

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