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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000290

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen BerniceSpidle Sex Female

Date of Birth November 1, 1924 Place of Birth Black RiverCounty of Kings

Name of Father Wilfred Doran Spidle MAIDEN NAME of Mother Lillian Gertrude Hiltz

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

Residence of Father when child was born Black River, Kings Co., NS Present address of Father Gaspereau, Kings Co., NS

Occupation of Father at Birth of child Farming Place of birth of Father Parkdale, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kathleen B. Smith (Spidle) Address of Applicant Box 517 Windsor, Hants Co., NS Date 10 January 1966

Relationship of Applicant to child Personal

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen BerniceSpidle

Born at Black River in the County of Kings

That Kathleen BerniceSpidle Whose Birth is sought to be registered was

born at Black River Kings County on November 1, 1924

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

Information from parents, school register, etc. Census

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