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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600338

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Blanche EdnaWelton Sex Female

Date of Birth October 14, 1923 Place of Birth South AltonCounty of Kings

Name of Father Thomas A. Welton MAIDEN NAME of Mother Edna May Jodrey

Residence of Father when child was born South Alton, Kings Co., NS Present address of Father Dead

Occupation of Father at Birth of child Farmer Place of birth of Father South Alton, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edna M. Shaw Address of Applicant Kentville, Kings Co., NS Date 14 July 1934

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Blanche EdnaWelton

Born at South Alton in the County of Kings

That Blanche EdnaWelton Whose Birth is sought to be registered was

born at South Alton Kings County on October 14, 1923

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

Mother

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