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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000688

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lois MaeHollingsworth Sex Female

Date of Birth July 18, 1922 Place of Birth Big LotsCounty of Lunenburg

Name of Father Artherden Lane Hollingsworth MAIDEN NAME of Mother Lois Mae Joudrey

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

Residence of Father when child was born Big Lots, Lunenburg Present address of Father Deceased

Occupation of Father at Birth of child Operator at Pulp Mill Place of birth of Father Charlston, Queens

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Lois M. Anthony Address of Applicant RR #1, Mill Village, Queens Date 20 September 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lois MaeHollingsworth

Born at Big Lots in the County of Lunenburg

That Lois MaeHollingsworth Whose Birth is sought to be registered was

born at Big Lots Lunenburg County on July 18, 1922

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

Being Lois Mae Hollingsworth half brother, I remember the date of her birth. (Court finding) - signed Wallace M. Naas

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