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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000852

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Melvina Martha Gudger Sex Female

Date of Birth February 14, 1921 Place of Birth InvernessCounty of Inverness

Name of Father Harlan Gudger MAIDEN NAME of Mother Frances Herriot

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

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

Occupation of Father at Birth of child Shoemaker Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Melvina Slaunwhite Address of Applicant 76 Thistle St. Dartmouth Date 26 September 1979

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Melvina Martha Gudger

Born at Inverness in the County of Inverness

That Melvina Martha Gudger Whose Birth is sought to be registered was

born at Inverness Inverness County on February 14, 1921

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

School record Marriage extract

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