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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600294

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth Alice JoyceWinters Sex Female

Date of Birth July 17, 1921 Place of Birth RiverportCounty of Lunenburg

Name of Father Collins G. Winters MAIDEN NAME of Mother Lydia M. Himmelman

Residence of Father when child was born Riverport, Lunenburg Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father The Ovens, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth Alice Joyce Winters Address of Applicant Allston, Massachusetts, USA Date 25 November 1933

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth Alice JoyceWinters

Born at Riverport in the County of Lunenburg

That Elizabeth Alice JoyceWinters Whose Birth is sought to be registered was

born at Riverport Lunenburg County on July 17, 1921

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

Verification from records of Deputy Registrar Generals office attached

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