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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91400278

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bessie MayColp Sex Female

Date of Birth December 21, 1920 Place of Birth ColptonCounty of Lunenburg

Name of Father Charles Andrew Colp MAIDEN NAME of Mother Gladys Viola Hamm

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

Residence of Father when child was born Colpton, Lunenburg Co. Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Colpton, Lunenburg Co.

Race English Name and present address of Physician in attendance at birth Mrs. Jacob Colp

Signature of Applicant Gladys Viola Colp Address of Applicant Colpton, Lunenburg Co. Date 10 February 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bessie MayColp

Born at Colpton in the County of Lunenburg

That Bessie MayColp Whose Birth is sought to be registered was

born at Colpton Lunenburg County on December 21, 1920

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

Being mother of child

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