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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000571

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen EileenWarner Sex Female

Date of Birth April 19, 1924 Place of Birth Port HawkesburyCounty of Inverness

Name of Father Peter B. Warner MAIDEN NAME of Mother Loucretia Durrah

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

Residence of Father when child was born Port Hawkesbury, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Canadian National Railway Forman Place of birth of Father Port Hawkesbury, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Conrod Address of Applicant 1 Settle Street, Dartmouth, NS Date 27 April 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen EileenWarner

Born at Port Hawkesbury in the County of Inverness

That Helen EileenWarner Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on April 19, 1924

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

Census and National Registration records

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