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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000442

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nancy MayDaniels Sex Female

Date of Birth April 21, 1924 Place of Birth FortiesCounty of Lunenburg

Name of Father Raymond Daniels MAIDEN NAME of Mother Mae Lillian Huntley

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Chester, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nancy Rhynold Address of Applicant RR #2, Roseneath, Ontario Date 15 November 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nancy MayDaniels

Born at Forties in the County of Lunenburg

That Nancy MayDaniels Whose Birth is sought to be registered was

born at Forties Lunenburg County on April 21, 1924

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

I have no idea the reason why I wasn't registered. Enclosing my baptism certificate for proof of age

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