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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000985

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth AudreyVaughan Sex Female

Date of Birth September 8, 1921 Place of Birth MontagueCounty of Halifax

Name of Father David Vaughan MAIDEN NAME of Mother Mary Canning

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

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

Occupation of Father at Birth of child Plumber Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Patricia M. Bumner Address of Applicant 9 Grandview Dr. Dartmouth Date August 26, 1982

Relationship of Applicant to child Niece

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth AudreyVaughan

Born at Montague in the County of Halifax

That Elizabeth AudreyVaughan Whose Birth is sought to be registered was

born at Montague Halifax County on September 8, 1921

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

Baptismal Marriage Extract

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