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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000083

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of June BerneiceBird Sex Female

Date of Birth February 1, 1923 Place of Birth West LeicesterCounty of Cumberland

Name of Father Ira Oberland Bird MAIDEN NAME of Mother Marlon Irene Chapman

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

Residence of Father when child was born West Leicester Cumberland Co. Ns Present address of Father West Leicester, Cumberland Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Athol, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ira O. Bird Address of Applicant West Leicester, Cumberland Co., NS Date 4 October 1948

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of June BerneiceBird

Born at West Leicester in the County of Cumberland

That June BerneiceBird Whose Birth is sought to be registered was

born at West Leicester Cumberland County on February 1, 1923

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

I am the father of the above named June Berneice Bird. I declare the facts as stated are true in every particular.

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