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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000753

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence ElsieWilson Sex Female

Date of Birth June 21, 1921 Place of Birth DartmouthCounty of Halifax

Name of Father Harry Wilson MAIDEN NAME of Mother Lillian Williamson

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

Residence of Father when child was born Tufts Cove Present address of Father deceased

Occupation of Father at Birth of child Moulder Place of birth of Father Dartmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Lavallee Address of Applicant 4 Most St. Dartmouth Date June 22, 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence ElsieWilson

Born at Dartmouth in the County of Halifax

That Florence ElsieWilson Whose Birth is sought to be registered was

born at Dartmouth Halifax County on June 21, 1921

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

baptismal School record Marriage extract

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