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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000929

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Everett James SamuelConrad Sex Male

Date of Birth June 2, 1924 Place of Birth Conquerall BankCounty of Lunenburg

Name of Father James Samuel Conrad MAIDEN NAME of Mother Myrtle Ruth Wile

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

Residence of Father when child was born Conquerall Bank Present address of Father deceased

Occupation of Father at Birth of child Deep Sea Fisherman Place of birth of Father Conquerall Bank

Race Name and present address of Physician in attendance at birth

Signature of Applicant Josephine M. Wentzell Address of Applicant Lunenburg Date November 9, 1988

Relationship of Applicant to child Older Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Everett James SamuelConrad

Born at Conquerall Bank in the County of Lunenburg

That Everett James SamuelConrad Whose Birth is sought to be registered was

born at Conquerall Bank Lunenburg County on June 2, 1924

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

I am an older sister who was living with our parents at the time of his birth.

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