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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000742

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth RebekerWilliams Sex Female

Date of Birth February 24, 1923 Place of Birth East PrestonCounty of Halifax

Name of Father Peter Williams MAIDEN NAME of Mother Roseina Taylor

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

Residence of Father when child was born East Preston Halifax Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Dept. of Highways Worker Place of birth of Father East Preston, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth Rebeker Williams Address of Applicant Cherry Brook, Dartmouth, Halifax Co., NS Date 22 June 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth RebekerWilliams

Born at East Preston in the County of Halifax

That Elizabeth RebekerWilliams Whose Birth is sought to be registered was

born at East Preston Halifax County on February 24, 1923

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

School record Census record

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