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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600721

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean Adelaide OlsenLatimer Sex Female

Date of Birth September 6, 1920 Place of Birth Cape LaRondeCounty of Richmond

Name of Father   MAIDEN NAME of Mother Viola Adelaide Latimer

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Gladys Richards Address of Applicant Secretary Children's Aid, Sydney Date July 30, 1938

Relationship of Applicant to child Guardian by Court Order dated October 5, 1933

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean Adelaide OlsenLatimer

Born at Cape LaRonde in the County of Richmond

That Jean Adelaide OlsenLatimer Whose Birth is sought to be registered was

born at Cape LaRonde Richmond County on September 6, 1920

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

Mother's sworn statement in our files also baptism certificate with same date

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