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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600255

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William Charles ElmerAndrews Sex Male

Date of Birth December 28, 1920 Place of Birth CoxheathCounty of Cape Breton

Name of Father Elias Ainslie Andrews MAIDEN NAME of Mother Annie Anderson

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

Residence of Father when child was born Coxheath, Cape Breton Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Coxheath, Cape Breton Co.

Race White Name and present address of Physician in attendance at birth Dr. John MacDonald

Signature of Applicant Annie Andrews Address of Applicant Coxheath, Cape Breton Co. Date 8 November 1935

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William Charles ElmerAndrews

Born at Coxheath in the County of Cape Breton

That William Charles ElmerAndrews Whose Birth is sought to be registered was

born at Coxheath Cape Breton County on December 28, 1920

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

I am his mother and remember the date

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