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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000718

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nellie JeanViner Sex Female

Date of Birth November 10, 1924 Place of Birth CentrevilleCounty of Kings

Name of Father William Henry Viner MAIDEN NAME of Mother Georgina May Lanzie

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

Residence of Father when child was born Centreville, Kings Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer, Farmer Place of birth of Father Falmouth, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nellie Jean Brothers Address of Applicant RR #2, Cambridge, Kings Co., NS Date 15 June 1981

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nellie JeanViner

Born at Centreville in the County of Kings

That Nellie JeanViner Whose Birth is sought to be registered was

born at Centreville Kings County on November 10, 1924

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

I am the applicant said Nellie Jean Brothers, nee Viner and have always celebrated my birthdate on November 10th and understood I was born in 1924

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