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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000591

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Viola MaeAllen Sex Female

Date of Birth January 14, 1924 Place of Birth WoodstockCounty of Yarmouth

Name of Father George Bell Allen MAIDEN NAME of Mother Barbara Ellen Hurlburt

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

Residence of Father when child was born Woodstock, Yarmouth Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Woodstock, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mendal Outhouse Address of Applicant Deerfield, South Ohio, RR #2, Yarmouth Co., NS Date 28 September 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Viola MaeAllen

Born at Woodstock in the County of Yarmouth

That Viola MaeAllen Whose Birth is sought to be registered was

born at Woodstock Yarmouth County on January 14, 1924

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

Family records School record

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