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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000177

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary EuphemiaWinters Sex Female

Date of Birth February 4, 1924 Place of Birth LiverpoolCounty of Queens

Name of Father Harold Baker Winters MAIDEN NAME of Mother Gertrude Hunt

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

Residence of Father when child was born Liverpool, Queens Co., NS Present address of Father Liverpool, Queens Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary E. Dolphin Address of Applicant 34 Tobin Street, Apt. 11, Halifax, NS Date 22 August 1956

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary EuphemiaWinters

Born at Liverpool in the County of Queens

That Mary EuphemiaWinters Whose Birth is sought to be registered was

born at Liverpool Queens County on February 4, 1924

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

Through School records & marriage certificate

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