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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000889

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olef LeroyFeener Sex Male

Date of Birth December 7, 1923 Place of Birth Nictaux FallsCounty of Annapolis

Name of Father Ernest George Feener MAIDEN NAME of Mother Emma Varner

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

Residence of Father when child was born Nictaux Annapolis Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leroy Olaf Feener Address of Applicant 37 Forest Road, Dartmouth, NS Date 30 March 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olef LeroyFeener

Born at Nictaux Falls in the County of Annapolis

That Olef LeroyFeener Whose Birth is sought to be registered was

born at Nictaux Falls Annapolis County on December 7, 1923

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

School record Marriage extract Replacement of record # partially destroyed

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