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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000040

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edra AlenaDorman Sex Female

Date of Birth September 10, 1923 Place of Birth NewtonvilleCounty of Kings

Name of Father William Dorman MAIDEN NAME of Mother Carrie Grace Coldwell

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Newtonville Kings Co. Ns Present address of Father Newtonville, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Hantsport, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lottie R. Dorman Address of Applicant Newtonville, Kings Co., NS Date 21 June 1947

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edra AlenaDorman

Born at Newtonville in the County of Kings

That Edra AlenaDorman Whose Birth is sought to be registered was

born at Newtonville Kings County on September 10, 1923

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

I was present at the time of her birth.

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