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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900361

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna FlorenceMoore Sex Female

Date of Birth October 19, 1920 Place of Birth StellartonCounty of Pictou

Name of Father Albert Moore MAIDEN NAME of Mother Annie MacDonald

Residence of Father when child was born Stellarton Present address of Father Halifax

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

Race English Name and present address of Physician in attendance at birth Dr. V.H.J. Parker

Signature of Applicant Annie Moore Address of Applicant Stellarton Date March 10, 1945

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Stellarton in the County of Pictou

That Anna FlorenceMoore Whose Birth is sought to be registered was

born at Stellarton Pictou County on October 19, 1920

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

As mother of the said Anna Florence Moore I am personally aware of the date of her birth which is as given above.

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