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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000808

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna VictoriaLewis Sex Female

Date of Birth May 24, 1924 Place of Birth ParadiseCounty of Annapolis

Name of Father Joseph Ensley Rhynard MAIDEN NAME of Mother Elie Vivian Lewis

Were the Parents married at the time of the Birth?

Residence of Father when child was born Paradise Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father West Arlington

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anna Victoria Basque Address of Applicant Doaktown, New Brunswick Date May 28, 1984

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna VictoriaLewis

Born at Paradise in the County of Annapolis

That Anna VictoriaLewis Whose Birth is sought to be registered was

born at Paradise Annapolis County on May 24, 1924

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

stated on my marriage License #37851 on April 18, 1973 married on May 22, 1943

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