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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000660

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ethelyn GraceJodrey Sex Female

Date of Birth June 14, 1921 Place of Birth NewburnCounty of Lunenburg

Name of Father Allister Erie Jodrey MAIDEN NAME of Mother Cora Deamond

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Newburn

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ethelyn Zinck Address of Applicant Lilydale Date 9 November 1976

Relationship of Applicant to child n/a same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ethelyn GraceJodrey

Born at Newburn in the County of Lunenburg

That Ethelyn GraceJodrey Whose Birth is sought to be registered was

born at Newburn Lunenburg County on June 14, 1921

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

Certificate of Baptism dated 23 October 1921 signed by Rev. W.M. Knickle Minister-in-Charge of New Germany Parish and sworn statement to affect that an entry in the Family Bible substantiates this information also entry in Family Bible for parents Allister Erie Jodrey and his wife Cora Deamond Jodrey under births "Ethelyn Grace Jodrey, June 14, 1921"

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