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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91800031

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nellie HenriettaTarr Sex Female

Date of Birth August 5, 1921 Place of Birth Western HeadCounty of Queens

Name of Father William Herbert Tarr MAIDEN NAME of Mother Annie Estella Fralic

Residence of Father when child was born Western Head, Queens Co., NS Present address of Father Western Head, Queens Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Western Head, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence L. Frelick Address of Applicant Liverpool, Queens Co., NS Date 10 February 1943

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nellie HenriettaTarr

Born at Western Head in the County of Queens

That Nellie HenriettaTarr Whose Birth is sought to be registered was

born at Western Head Queens County on August 5, 1921

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

Family bible Kept house at this time

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