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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000900

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen LillianLongmire Sex Female

Date of Birth November 29, 1922 Place of Birth HillsburnCounty of Annapolis

Name of Father Roy James Longmire MAIDEN NAME of Mother Annie Grace Halliday

Residence of Father when child was born Hillsburn, Annapolis Co., NS Present address of Father Hillsburn, Annapolis Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Hillsburn, Annapolis Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Roy Longmire Address of Applicant Hillsburn, Annapolis Co., NS Date 16 February 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen LillianLongmire

Born at Hillsburn in the County of Annapolis

That Kathleen LillianLongmire Whose Birth is sought to be registered was

born at Hillsburn Annapolis County on November 29, 1922

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

I am the mother

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