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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000396

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Winnifred GertrudeKing Sex Female

Date of Birth November 5, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Hezekiah King MAIDEN NAME of Mother Amelia Deare

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

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Winnie Cook Address of Applicant 3597 Merson Road, Halifax, NS Date 27 July 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Winnifred GertrudeKing

Born at Halifax in the County of Halifax

That Winnifred GertrudeKing Whose Birth is sought to be registered was

born at Halifax Halifax County on November 5, 1924

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

Baptismal certificate and marriage extract

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