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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000449

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Corene ErnestineSymonds Sex Female

Date of Birth March 14, 1922 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Edmund H. Symonds MAIDEN NAME of Mother Gertrude Wilson

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

Residence of Father when child was born Hammonds Plains, Halifax Present address of Father Hammonds Plains, Halifax

Occupation of Father at Birth of child Labourer Place of birth of Father Hammonds Plains, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Corene David Address of Applicant Hammonds Plains, Halifax Date 2 May 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Corene ErnestineSymonds

Born at Hammonds Plains in the County of Halifax

That Corene ErnestineSymonds Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on March 14, 1922

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

Copy of marriage certificate, statistics of 1931 and registration of 1940.

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