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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000644

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Laura DorothyCarver Sex Female

Date of Birth February 24, 1923 Place of Birth WaldenCounty of Lunenburg

Name of Father Stephen Carver MAIDEN NAME of Mother Matilda L. Nauss

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

Residence of Father when child was born Walden Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Walden, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Laura Dorothy Salsman Address of Applicant Waterville, Kings Co., NS Date May 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Laura DorothyCarver

Born at Walden in the County of Lunenburg

That Laura DorothyCarver Whose Birth is sought to be registered was

born at Walden Lunenburg County on February 24, 1923

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

By certificate of baptism as kept at the Parish of New Germany, Lunenburg Co., NS

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