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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100024

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of LillianPonee Sex Female

Date of Birth January 20, 1921 Place of Birth SydneyCounty of Cape Breton

Name of Father Charles J. Ponee MAIDEN NAME of Mother Marie J. Lonnelber

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

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

Occupation of Father at Birth of child Grocer Store Owner Place of birth of Father France

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lillian Sampson Address of Applicant 51 Chittick Ave. Dartmouth Date August 15, 1983

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of LillianPonee

Born at Sydney in the County of Cape Breton

That LillianPonee Whose Birth is sought to be registered was

born at Sydney Cape Breton County on January 20, 1921

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

Census Records National Registration

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