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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100017

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 15, 1922 Place of Birth CharlestonCounty of Queens

Name of Father   MAIDEN NAME of Mother Sadie McLaughlin

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gregory P. Rafuse Address of Applicant Bridgewater, Lunenburg Date 27 August 1985

Relationship of Applicant to child Solicitor

AFFIDAVIT

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

Born at Charleston in the County of Queens

That KathleenMcLaughlin Whose Birth is sought to be registered was

born at Charleston Queens County on April 15, 1922

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

1. I am advised and do verily believe that Kathleen Zwicker nee McLaughlin has since her birth celebrated her birthday on the 15th day of April (1922) 2. That the Certificate of Baptism of Kathleen Zwicker (nee McLaughlin) shows the place and date of birth as Charleston, April 15, 1922, said Certificate of Baptism being dated October 1, 1944, a true copy of which is attached hereto.

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