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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000870

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louise MaryWilliams Sex Female

Date of Birth July 25, 1921 Place of Birth PrestonCounty of Halifax

Name of Father Samuel Williams MAIDEN NAME of Mother Annie Thomas

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Preston

Race Name and present address of Physician in attendance at birth

Signature of Applicant Louise M. Slawter Address of Applicant Preston Date January 1980

Relationship of Applicant to child n/a

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louise MaryWilliams

Born at Preston in the County of Halifax

That Louise MaryWilliams Whose Birth is sought to be registered was

born at Preston Halifax County on July 25, 1921

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

As told by my parents and as determined by a Court

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