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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000376

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice MinniaConrad Sex Female

Date of Birth April 14, 1924 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Frank Leo Conrad MAIDEN NAME of Mother Minnie Alice Cook

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

Residence of Father when child was born Bridgewater, Lunenburg Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Moulder Place of birth of Father Oakhill, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Minnie A. Conrad Address of Applicant 137 Alexandra Avenue, Bridgewater, Lunenburg Co., NS Date 29 August 1972

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice MinniaConrad

Born at Bridgewater in the County of Lunenburg

That Alice MinniaConrad Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on April 14, 1924

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

I am the mother of the said Alice Minnia Conrad and have personal knowledge of the birth. That Rev. George P. Endy of St. Paul's Lutheran Church, Bridgewater, entered the name and date of birth of the said Alice Minnia Conrad in our family bible in the record of births therein - which birth date there indicated is as herein deposed to.

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