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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000503

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lillian MurielVeinot Sex Female

Date of Birth June 16, 1924 Place of Birth Second PeninsulaCounty of Lunenburg

Name of Father William Albert Veinot MAIDEN NAME of Mother Watie DeMone

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant L. M. Ryder Address of Applicant 21 Bellevista Drive, Dartmouth, NS Date 6 July 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lillian MurielVeinot

Born at Second Peninsula in the County of Lunenburg

That Lillian MurielVeinot Whose Birth is sought to be registered was

born at Second Peninsula Lunenburg County on June 16, 1924

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

Baptismal certificate - 1st name shown incorrectly spelled Marriage extract

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