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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000759

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna LauraSwinimer Sex Female

Date of Birth November 25, 1921 Place of Birth Upper VaughanCounty of Hants

Name of Father Perley James Swinimer MAIDEN NAME of Mother Mamie Gertrude Swinimer

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

Residence of Father when child was born Upper Vaughan Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Gold River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anna Laura Swinimer Address of Applicant Upper Vaughan Date July 10, 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna LauraSwinimer

Born at Upper Vaughan in the County of Hants

That Anna LauraSwinimer Whose Birth is sought to be registered was

born at Upper Vaughan Hants County on November 25, 1921

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

I am her oldest Sister

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