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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000212

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lucy ElvaMosher Sex Female

Date of Birth August 26, 1922 Place of Birth RiverportCounty of Lunenburg

Name of Father Harold J. Mosher MAIDEN NAME of Mother Helen Mary Crouse

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

Residence of Father when child was born Riverport, Lunenburg Present address of Father Riverport, Lunenburg

Occupation of Father at Birth of child Mariner Place of birth of Father Riverport, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lucy Elva Nieford Address of Applicant Riverport, Lunenburg Date 24 May 1955

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lucy ElvaMosher

Born at Riverport in the County of Lunenburg

That Lucy ElvaMosher Whose Birth is sought to be registered was

born at Riverport Lunenburg County on August 26, 1922

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

I was the attending physician and according to my records, the above information and date of birth is correct

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