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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000374

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 16, 1922 Place of Birth River Hebert EastCounty of Cumberland

Name of Father william R. Porter MAIDEN NAME of Mother Ethel Kendall

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

Residence of Father when child was born River Hebert East, Cumberland Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father River Hebert East, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Ethel Porter Address of Applicant River Hebert East, Cumberland Date June 1969

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at River Hebert East in the County of Cumberland

That CarolinePorter Whose Birth is sought to be registered was

born at River Hebert East Cumberland County on October 16, 1922

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

I gave birth to Caroline Porter and so hereby declare that the date of birth as mentioned above is true in every respect

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