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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703643

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna HazelHudson Sex

Date of Birth June 5, 1920 Place of Birth HansfordCounty of Cumberland

Name of Father John James Hudson MAIDEN NAME of Mother Clarice Edith Rushton

Residence of Father when child was born Hansford Present address of Father Hansford

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

Race Canadian Name and present address of Physician in attendance at birth Dr. J. R. Gilroy, Oxford

Signature of Applicant John James Hudson Address of Applicant Hansford Date March 10, 1943

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna HazelHudson

Born at Hansford in the County of Cumberland

That Anna HazelHudson Whose Birth is sought to be registered was

born at Hansford Cumberland County on June 5, 1920

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

Inclose (sic) is a certificate from the Doctor who attended my wife, Clarice Edith Hudson when this birth occurred.

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