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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000739

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evangeline VirginiaWeare Sex Female

Date of Birth November 22, 1923 Place of Birth RosetteCounty of Queens

Name of Father Leigh Croker Weare MAIDEN NAME of Mother Carrie Sylviria Mansfield

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

Residence of Father when child was born Rosette Queens Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Rosette, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Evangeline V. Merry Address of Applicant Maitland Bridge, Annapolis Co., NS Date 22 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evangeline VirginiaWeare

Born at Rosette in the County of Queens

That Evangeline VirginiaWeare Whose Birth is sought to be registered was

born at Rosette Queens County on November 22, 1923

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

Westfield School records where I attended school to the year 1935 showing my age at that time as 12 years old. Also a letter from the census records showing that I was born in 1923. these two items of proof I hope are satisfying to your department.

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