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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501313

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Geneva KathleenBrittain Sex Female

Date of Birth November 6, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father Ernest Law Brittain MAIDEN NAME of Mother Florence Cook

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

Residence of Father when child was born Yarmouth Present address of Father Wellington

Occupation of Father at Birth of child Farmer Place of birth of Father Forest Glen, Yarmouth Co.

Race English Name and present address of Physician in attendance at birth Dr. G. W. T. Farish, Yarmouth

Signature of Applicant Mrs. Ernest Brittain Address of Applicant Wellington, Yarmouth Co. Date 7 November 1940

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Geneva KathleenBrittain

Born at Yarmouth in the County of Yarmouth

That Geneva KathleenBrittain Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on November 6, 1920

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

I am the mother of Geneva Kathleen Brittain and do well remember the date of her birth

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