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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000334

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 21, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Thomas King MAIDEN NAME of Mother Lorena Mercer

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant J. Chaplain Address of Applicant 21 Charlemagne Drive, Toronto, Ontario Date 8 July 1966

Relationship of Applicant to child Husband

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That LorenaKing Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 21, 1922

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

That I was married to the said Lorena King on September 15, 1945. We have always celebrated her birthday on the 21st of April in each year and the age reached by her on each birthday such as would make her date of birth April 21, 1922. ie: she was 44 years of age on April 21, 1966.

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