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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000112

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Meda FaithBolser Sex Female

Date of Birth May 10, 1923 Place of Birth Spa SpringsCounty of Annapolis

Name of Father Frank Bolser MAIDEN NAME of Mother Blanche Vroom

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

Residence of Father when child was born Spa Springs Annapolis Co. Ns Present address of Father Melvern Square, Annapolis Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Spa Springs, Annapolis Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank A. Bolser Address of Applicant Melvern Square, Annapolis Co., NS Date 23 October 1950

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Meda FaithBolser

Born at Spa Springs in the County of Annapolis

That Meda FaithBolser Whose Birth is sought to be registered was

born at Spa Springs Annapolis County on May 10, 1923

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

I was there and were present when the birth of Meda Faith Bolser took place. (Certificate re bible record attached)

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