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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000359

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Effie BeatriceLockhart Sex Female

Date of Birth March 18, 1923 Place of Birth AvonportCounty of Kings

Name of Father David Henry Lockhart MAIDEN NAME of Mother Lillian Amelia Hughes

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

Residence of Father when child was born Avonport Kings Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant G. K. Smith Md Address of Applicant Hantsport, Hants Co., NS Date 20 March 1969

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Effie BeatriceLockhart

Born at Avonport in the County of Kings

That Effie BeatriceLockhart Whose Birth is sought to be registered was

born at Avonport Kings County on March 18, 1923

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

That I delivered Mrs. David H. Lockhart of a female child at Avonport, NS. This child was named Effie. the mother's age at the time was 44 years and this was her 12th child.

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