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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000224

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred FrancesBernard Sex Female

Date of Birth June 16, 1924 Place of Birth WeymouthCounty of Digby

Name of Father Edward Bernard MAIDEN NAME of Mother Mary Franklyn

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

Residence of Father when child was born Weymouth, Digby Co., NS Present address of Father Dartmouth, NS

Occupation of Father at Birth of child Labourer Place of birth of Father Annapolis, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mildred Bernard Address of Applicant Dartmouth, NS Date 5 April 1960

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred FrancesBernard

Born at Weymouth in the County of Digby

That Mildred FrancesBernard Whose Birth is sought to be registered was

born at Weymouth Digby County on June 16, 1924

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

Information received from parents Baptism certificate School record Surname Barnard on School record in error, correct surname Bernard

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