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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000865

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Viola PaulineTanner Sex Female

Date of Birth June 5, 1922 Place of Birth ClearlandCounty of Lunenburg

Name of Father Roger Tanner MAIDEN NAME of Mother Grace MacKennison

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

Residence of Father when child was born Clearland, Lunenburg Present address of Father Clearland, Mahone Bay, Lunenburg

Occupation of Father at Birth of child working on Mill of Mr. Edward Ernst Place of birth of Father Dorey Road, Clearland, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Viola Pauline Vienotte Address of Applicant Date July 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Viola PaulineTanner

Born at Clearland in the County of Lunenburg

That Viola PaulineTanner Whose Birth is sought to be registered was

born at Clearland Lunenburg County on June 5, 1922

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

Marriage extract School records

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