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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000498

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 10, 1924 Place of Birth Sweets CornerCounty of Hants

Name of Father Wilfred Cochrane MAIDEN NAME of Mother Hazel Lockhart

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

Residence of Father when child was born Sweets Corner, Hants Co., NS Present address of Father Ellershouse, Hants Co., NS

Occupation of Father at Birth of child Mill Driver Place of birth of Father Sweets Corner, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Winnifred June Cochrane Address of Applicant PO Box 954, Windsor, Hants Co., NS Date 22 June 1974

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Sweets Corner in the County of Hants

That Winnifred JuneCochrane Whose Birth is sought to be registered was

born at Sweets Corner Hants County on June 10, 1924

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

I am signing this paper to prove I am the mother of Winnifred June Cochrane, Born June 10th, 1924

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