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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000908

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joan ConstanceHemlow Sex Female

Date of Birth January 4, 1921 Place of Birth YarmouthCounty of Yarmouth

Name of Father   MAIDEN NAME of Mother Martha Hemlow

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Janis S. Pottier Address of Applicant 1029 Woodvale Place, Kentville Date November 21, 1980

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joan ConstanceHemlow

Born at Yarmouth in the County of Yarmouth

That Joan ConstanceHemlow Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on January 4, 1921

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

A Certificate of Baptism of St. Ambrose Cathedral, Yarmouth

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