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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000151

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nadine ElizabethSears Sex Female

Date of Birth April 22, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father Fred Weymond Sears MAIDEN NAME of Mother Bessie Maud Richardson

Residence of Father when child was born Amherst, Cumberland Co., NS Present address of Father Dartmouth, NS

Occupation of Father at Birth of child Telegraph Operator Place of birth of Father Midgic, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bessie M. Sears Address of Applicant 83 Havelock Street, Amherst, Cumberland Co., NS Date 21 March 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nadine ElizabethSears

Born at Amherst in the County of Cumberland

That Nadine ElizabethSears Whose Birth is sought to be registered was

born at Amherst Cumberland County on April 22, 1922

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

That I am her mother and know the above statement to be correct

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