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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000809

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of HazelWilliams Sex Female

Date of Birth February 18, 1924 Place of Birth East PrestonCounty of Halifax

Name of Father Percy Williams MAIDEN NAME of Mother Sarah Sanders

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

Residence of Father when child was born East Preston Present address of Father deceased

Occupation of Father at Birth of child Woodsman Place of birth of Father East Preston

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hazel Williams Address of Applicant Partridge River Rd. East Preston Date January 15, 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of HazelWilliams

Born at East Preston in the County of Halifax

That HazelWilliams Whose Birth is sought to be registered was

born at East Preston Halifax County on February 18, 1924

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

National Registration Marriage Extract

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